Provider Demographics
NPI:1811165327
Name:WONG, WAI YEE (PT)
Entity type:Individual
Prefix:
First Name:WAI
Middle Name:YEE
Last Name:WONG
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:ALICE
Other - Middle Name:YEE
Other - Last Name:WONG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:2569 152ND AVE NE
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5549
Mailing Address - Country:US
Mailing Address - Phone:425-497-8180
Mailing Address - Fax:425-497-8358
Practice Address - Street 1:2569 152ND AVE NE
Practice Address - Street 2:
Practice Address - City:REDMOND
Practice Address - State:WA
Practice Address - Zip Code:98052-5549
Practice Address - Country:US
Practice Address - Phone:425-497-8180
Practice Address - Fax:425-497-8358
Is Sole Proprietor?:No
Enumeration Date:2008-02-19
Last Update Date:2008-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPT00007547225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist