Individual
ANDREA WACENDAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
98 OAK ST, BINGHAMTON, NY 13905-3769
(607) 762-8136
Mailing address
98 OAK ST, BINGHAMTON, NY 13905-3769
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
361456
NY
Other
Enumeration date
09/07/2016
Last updated
09/07/2016
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