Most Relevant Information
Provider Data
| NPI Number: | 1003450834 |
| Provider Name: | LUU THI WONG OT |
| Entity Type: | Individual |
| Taxonomy Code: | 225XH1200X |
| Specialty: | Occupational Therapist |
| License Number: | 2000157770 |
Most Important Dates
| Enumeration Date: | 11/05/2019 |
| Last Updated: | 04/25/2024 |
Provider Practice Location
14532 S OUTER 40 RD
DEPT OCCUPATIONAL THERAPY, STE 120
CHESTERFIELD
MO
630175705
Practice Location Phone/Fax
| Phone: | 3142861669 |
| Fax: | 3145143635 |
Provider Mailing Location
PO BOX 60352
SAINT LOUIS
MO
631600352
Provider Mailing Phone/Fax
| Phone: | 3142861669 |
| Fax: | 3145143635 |