WANDA CECELIA HAIRSTON

SEVERNA PARK, MD
NPI1750406435
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MD  A1258)
Enumeration Date2007-03-20
Last Update Date2007-07-08
Business Address
Ms. WANDA CECELIA HAIRSTON PTA
24 TRUCK HOUSE RD
SEVERNA PARK, MD 21146-2715
Phone number: 410-544-4220
Mailing Address
Ms. WANDA CECELIA HAIRSTON PTA
3520 DERBY SHIRE CIR
WINDSOR MILL, MD 21244-3624
Phone number: 410-544-4220