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1982825345
WANDA GREEN
WILLIAMSBURG, VA
NPI
1982825345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119002203)
Enumeration Date
2007-05-02
Last Update Date
2007-07-08
Business Address
-- WANDA GREEN OTR
119 BULIFANTS BLVD SUITE B
WILLIAMSBURG, VA 23188-5709
Phone number: 757-564-1650
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Mailing Address
-- WANDA GREEN OTR
32 TIMBERLINE DR
HAMPTON, VA 23666-1963
Phone number: 757-838-3532
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