Individual
MRS. WANDA LYNN HANEBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2229
(781) 687-3462
Mailing address
200 SPRINGS RD, BEDFORD, MA 01730-1114
(781) 687-2229
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1427
MA
Other
Enumeration date
03/13/2012
Last updated
03/13/2012
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