Provider Demographics
NPI:1922580927
Name:WEE, JONINA MAE DEL ROSARIO
Entity Type:Individual
Prefix:
First Name:JONINA MAE
Middle Name:DEL ROSARIO
Last Name:WEE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5559 URA DR
Mailing Address - Street 2:
Mailing Address - City:MCKINNEY
Mailing Address - State:TX
Mailing Address - Zip Code:75070-1396
Mailing Address - Country:US
Mailing Address - Phone:469-781-8528
Mailing Address - Fax:
Practice Address - Street 1:6421 MCKINNEY RANCH PKWY
Practice Address - Street 2:
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75070-1860
Practice Address - Country:US
Practice Address - Phone:972-445-9844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-09-05
Last Update Date:2022-05-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
TX1255138225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty