Individual
MRS. KELLY RENEE WINGARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5035 CLAIRTON BLVD, PITTSBURGH, PA 15236-2103
(412) 440-0145
Mailing address
191 WINGARD WOODS LN, SHIPPENVILLE, PA 16254-2241
(814) 316-6360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006900
PA
Other
Enumeration date
12/08/2017
Last updated
12/08/2017
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