Individual
WENDY AZZARELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2101 BILLY HOWEY RD, WAXHAW, NC 28173-8166
(704) 728-1535
Mailing address
2101 BILLY HOWEY RD, WAXHAW, NC 28173-8166
(704) 728-1535
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4939
NC
Other
Enumeration date
07/28/2011
Last updated
07/28/2011
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