Individual
WENDY LEE RAGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 BAIRD ST, HARVEYS LAKE, PA 18618-2250
(570) 406-0223
Mailing address
110 BAIRD ST, HARVEYS LAKE, PA 18618-2250
(570) 406-0223
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP002049L
PA
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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