Individual
LYNE MARIE WANCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
530 MACOBY ST, PENNSBURG, PA 18073-1112
(215) 541-3500
Mailing address
1504 WHITPAIN HLS, BLUE BELL, PA 19422-1361
(215) 983-6905
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP006157
PA
Other
Enumeration date
04/12/2007
Last updated
07/08/2007
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