Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WANDA CARROLL, PTA, LMT, CNA
ActiveOccupational Therapist · SEVERNA PARK, MD
Registration Details
- NPI Number
- 1356566731
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 13, 2007 (19.022761484929 yrs)
- Last Updated
- Jun 9, 2015
- Licenses
-
M00487 (MD)M00487 (MD)A3443 (MD)A00010416 (MD)A00010416 (MD)
Practice Information
- Address
-
839 COTTONWOOD DRSEVERNA PARK, MD, 211462836Browse MD providers · Browse ZIP 21146
- Phone
- 4439862959
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Massage Therapist
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Home Health Aide
- Additional Specialty
- Nurse's Aide
Other Occupational Therapist Providers in SEVERNA PARK, MD
| Name | Credential | NPI |
|---|---|---|
| MS. WANDA CECELIA HAIRSTON | PTA | 1750406435 |
| NICHOLE LYNN-HINES MIELE | PTA | 1922124205 |
| NANCY JEANNE PORTELA | PTA | 1902926363 |
| MR. RYAN MATTHEW GOLDBERG | PTA | 1316225816 |
| BONNIE GAYLE WIENINGER | — | 1144570227 |
| TAMMI SMITH | — | 1750713640 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.