Provider Demographics
NPI:1942554753
Name:AU, PHOEBE WAI-HAN (COMS, OT/L, CLT)
Entity Type:Individual
Prefix:MISS
First Name:PHOEBE
Middle Name:WAI-HAN
Last Name:AU
Suffix:
Gender:F
Credentials:COMS, OT/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:138 S 332ND PL
Mailing Address - Street 2:APT. 810
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7330
Mailing Address - Country:US
Mailing Address - Phone:253-874-0401
Mailing Address - Fax:
Practice Address - Street 1:9600 VETERANS DR
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98493-0001
Practice Address - Country:US
Practice Address - Phone:253-583-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-31
Last Update Date:2012-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255R0406XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistRehabilitation, Blind