Provider Demographics
NPI:1194160648
Name:WU, MEI (PT)
Entity type:Individual
Prefix:
First Name:MEI
Middle Name:
Last Name:WU
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 1:576 BROADHOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:MELVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11747-5002
Mailing Address - Country:US
Mailing Address - Phone:631-359-5800
Mailing Address - Fax:603-425-6600
Practice Address - Street 1:389 MAIN ST STE C
Practice Address - Street 2:
Practice Address - City:HAVERHILL
Practice Address - State:MA
Practice Address - Zip Code:01830-4062
Practice Address - Country:US
Practice Address - Phone:978-478-5050
Practice Address - Fax:978-478-5044
Is Sole Proprietor?:Yes
Enumeration Date:2013-05-09
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
NH2650225100000X
MA15635225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist