Provider Demographics
NPI:1972645414
Name:THONG, NAOE MICHELLE (PT)
Entity Type:Individual
Prefix:MRS
First Name:NAOE
Middle Name:MICHELLE
Last Name:THONG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:374 SARA AVE
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94086-5939
Mailing Address - Country:US
Mailing Address - Phone:408-745-7165
Mailing Address - Fax:
Practice Address - Street 1:3906 MIDDLEFIELD RD
Practice Address - Street 2:
Practice Address - City:PALO ALTO
Practice Address - State:CA
Practice Address - Zip Code:94303-4733
Practice Address - Country:US
Practice Address - Phone:650-494-0991
Practice Address - Fax:650-494-0129
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT33424171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor