Provider Demographics
NPI:1275649006
Name:CHEN-SAMS, WANG YI (OTR)
Entity Type:Individual
Prefix:MRS
First Name:WANG
Middle Name:YI
Last Name:CHEN-SAMS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:MRS
Other - First Name:WENDY
Other - Middle Name:YI
Other - Last Name:SAMS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR
Mailing Address - Street 1:8215 CALTERRA DR
Mailing Address - Street 2:
Mailing Address - City:PALM BEACH GARDENS
Mailing Address - State:FL
Mailing Address - Zip Code:33418-8184
Mailing Address - Country:US
Mailing Address - Phone:561-775-9976
Mailing Address - Fax:
Practice Address - Street 1:8215 CALTERRA DR
Practice Address - Street 2:
Practice Address - City:PALM BEACH GARDENS
Practice Address - State:FL
Practice Address - Zip Code:33418-8184
Practice Address - Country:US
Practice Address - Phone:561-775-9976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-22
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT4285225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics