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Individual
SHANA WONDERLY
Active
Individual
SHANA WONDERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
1646
WV
225X00000X
Occupational Therapist
Primary
OC012730
PA
225X00000X
Occupational Therapist
OT.007565
OH
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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