MEDICARE: DR. HELEN HOI YAN TONG DC, OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	DC30848	CA
2	225X00000X	Occupational Therapist	OT 4856	CA

General Provider Information

NPI Number	:	1790956944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HELEN HOI YAN TONG DC, OTR/L

Provider Business Mailing Address
First Line	:	4301 RENAISSANCE DR APT 308
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95134-1566
Country	:	US
Telephone Number	:	415-816-3888
Fax Number	:

Provider Business Practice Location Address
First Line	:	21730 STEVENS CREEK BLVD STE 102
Second Line	:
City	:	CUPERTINO
State	:	CA
Zip	:	95014-1171
Country	:	US
Telephone Number	:	408-966-2928
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/17/2008
Last Update Date	:	02/28/2009

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