Individual
HEIDI LYNN WYNO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
990 MEDICAL RD, MILLERSBURG, PA 17061-1235
(717) 692-4751
Mailing address
990 MEDICAL RD, MILLERSBURG, PA 17061-1235
(717) 692-4751
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007564
PA
Other
Enumeration date
02/26/2014
Last updated
02/26/2014
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