Individual
MRS. WANDA ELAINE PIERCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 WATER STREET, CHARDON HEALTH CARE, CHARDON, OH 44024
(440) 285-9400
Mailing address
883 LONG SHADOW LN, ROAMING SHORES, OH 44085-9764
(440) 563-5507
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
04179
OH
Other
Enumeration date
12/31/2009
Last updated
12/31/2009
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