Provider Demographics
NPI:1790956944
Name:TONG, HELEN HOI YAN (DC, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:HOI YAN
Last Name:TONG
Suffix:
Gender:F
Credentials:DC, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4301 RENAISSANCE DR APT 308
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95134-1566
Mailing Address - Country:US
Mailing Address - Phone:415-816-3888
Mailing Address - Fax:
Practice Address - Street 1:21730 STEVENS CREEK BLVD STE 102
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-1171
Practice Address - Country:US
Practice Address - Phone:408-966-2928
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-17
Last Update Date:2009-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADC30848111N00000X
CAOT 4856225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist