Individual provider · Type 1 NPI
Shannon Wong, LMT
Contractor · Portland, ME
Practice location
449 Forest Ave
Portland, ME 04101-2029
Mailing address
59 Saint George St
Portland, ME 04103-4019
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor Primary | 171W00000X | MT4634 (ME) |
Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…
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About NPI 1790164648
Shannon Wong, LMT's National Provider Identifier is 1790164648, issued on May 26, 2015. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Portland, ME. The record was last updated on May 26, 2015.