Individual
CHARDE D WYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
1500 E 191ST ST, EUCLID, OH 44117-1398
(216) 486-8880
Mailing address
3618 LUDGATE RD, SHAKER HEIGHTS, OH 44120-5010
(216) 551-6676
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008066
OH
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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