Kong, Anisa Chun

Kong, Anisa Chun is an sole proprietor health care provider with primary practice located at 2230 E Franklin Blvd Ste 100 , Gastonia NC 28054-4983. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kong, Anisa Chun can be contacted via phone (704) 830-6168.

Contact Information

Primary practice address
2230 E Franklin Blvd Ste 100 Gastonia NC 28054-4983
Phone: (704) 830-6168
Fax: (704) 853-1809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 888 North Carolina

Profile Details

NPI number 1508021270
LBN Legal business name Kong, Anisa Chun
Credentials OTR/L, CHT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2008
Last updated Nov 3rd, 2019 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508021270 NPPES
North Carolina MEDICAID G56017

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