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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. WANDA CECELIA HAIRSTON, PTA

Active

MS. WANDA CECELIA HAIRSTON, PTA is a Occupational Therapist healthcare provider located in SEVERNA PARK, Maryland. NPI 1750406435 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · SEVERNA PARK, MD

Registration Details

NPI Number
1750406435
Provider Type
Individual
Gender
Female
NPI Issued
Mar 20, 2007 (19.372251181993 yrs)
Last Updated
Jul 8, 2007
License
A1258 (MD)

Practice Information

Address
24 TRUCK HOUSE RD
SEVERNA PARK, MD, 211462715
Browse MD providers · Browse ZIP 21146
Phone
4105444220
Fax
4106479484
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in SEVERNA PARK, MD

Name Credential NPI
NICHOLE LYNN-HINES MIELE PTA 1922124205
NANCY JEANNE PORTELA PTA 1902926363
WANDA CARROLL PTA, LMT, CNA 1356566731
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.