Provider Demographics
NPI:1932312881
Name:WONG, ANGELA RENEE (OT, LIMITED PERMIT)
Entity Type:Individual
Prefix:MRS
First Name:ANGELA
Middle Name:RENEE
Last Name:WONG
Suffix:
Gender:F
Credentials:OT, LIMITED PERMIT
Other - Prefix:
Other - First Name:ANGELA
Other - Middle Name:RENEE
Other - Last Name:SCHLEPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT, LIMITED PERMIT
Mailing Address - Street 1:7239 EBY AVE
Mailing Address - Street 2:APT. 205
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66204-1638
Mailing Address - Country:US
Mailing Address - Phone:816-589-5343
Mailing Address - Fax:
Practice Address - Street 1:6700 ANTIOCH RD
Practice Address - Street 2:STE 430
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66204-1258
Practice Address - Country:US
Practice Address - Phone:888-652-9225
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KST-00666225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist