Provider Demographics
NPI:1013195007
Name:HONG, JOYCE YUET- WAH (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:JOYCE
Middle Name:YUET- WAH
Last Name:HONG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:440 EVENING VIEW DR
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91914-5211
Mailing Address - Country:US
Mailing Address - Phone:408-892-1571
Mailing Address - Fax:
Practice Address - Street 1:10783 JAMACHA BLVD STE 7
Practice Address - Street 2:
Practice Address - City:SPRING VALLEY
Practice Address - State:CA
Practice Address - Zip Code:91978-1842
Practice Address - Country:US
Practice Address - Phone:408-892-1571
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-01
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT609225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist