Individual
MRS. WANDA ANNETTE CROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
305 MARCELLA RD, HAMPTON, VA 23666-2433
(757) 825-0455
Mailing address
696 CARYWOOD LN, NEWPORT NEWS, VA 23602-4959
(757) 875-1791
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131000255
VA
Other
Enumeration date
06/02/2008
Last updated
08/03/2011
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