Xiao Bo Wang OTR/L

NPI 1194039727 - Occupational Therapist - 225X00000X

NPI Details
NPI 1194039727
Gender Female
Enumeration Date 08/06/2010
Last Updated 08/06/2010
Entity Type Individual
Active Over 6 years ago
Practice Location
163 PALENCIA VILLAGE DR STE 110
ST AUGUSTINE FL, 32095-8458, US
Phone (904) 829-6000
Fax (904) 829-6021
Business Location
163 PALENCIA VILLAGE DR STE 110
ST AUGUSTINE FL, 32095-8458, US
Phone (904) 829-6000
Fax (904) 829-6021
Toxanomy
Taxonomy Code 225X00000X
License State Florida
License Number OT 13693
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According to our database, Xiao Bo Wang OTR/L NPI is 1194039727, taxonomy code is 225X00000X and license number is OT 13693, license state is located at Florida. Xiao Bo Wang OTR/L physically located at 163 Palencia Village Dr Ste 110, St Augustine FL, 32095-8458. NPI Number Xiao Bo Wang OTR/L has the Individual type.

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1194039727 NPI number is provided on an as is basis without warranty of any kind. 1194039727 is maintained by the National Plan & Provider Enumeration System. The contents of Xiao Bo Wang OTR/L are for informational purposes only.