Provider Demographics
NPI:1235335845
Name:WU, JAUYI (BSOT)
Entity Type:Individual
Prefix:
First Name:JAUYI
Middle Name:
Last Name:WU
Suffix:
Gender:F
Credentials:BSOT
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:
Other - Last Name:WU
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:478 E CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-4008
Mailing Address - Country:US
Mailing Address - Phone:630-205-4457
Mailing Address - Fax:630-261-1746
Practice Address - Street 1:478 E CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:LOMBARD
Practice Address - State:IL
Practice Address - Zip Code:60148-4008
Practice Address - Country:US
Practice Address - Phone:630-205-4457
Practice Address - Fax:630-261-1746
Is Sole Proprietor?:No
Enumeration Date:2007-06-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist