Hairston, Wanda Cecelia
Hairston, Wanda Cecelia is an individual health care provider with primary practice located at 24 Truck House Rd , Severna Park MD 21146-2715. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, which is considered as her primary health care specialty. Hairston, Wanda Cecelia can be contacted via phone (410) 544-4220.Contact Information
Primary practice address
24 Truck House Rd
Severna Park MD 21146-2715
Phone: (410) 544-4220
Fax: (410) 647-9484
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A1258 | Maryland |
Profile Details
| NPI number | 1750406435 |
|---|---|
| LBN Legal business name | Hairston, Wanda Cecelia |
| Credentials | Physical Therapist Assistant (PTA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 20th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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