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Individual

MRS. WENDY SUZANNE MACNEILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Mailing address
13919 W 71ST PL, SHAWNEE, KS 66216-5502
(816) 665-8137

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
004553
MO
225XH1200X
Hand Occupational Therapist
17-01687
KS

Other

Enumeration date
10/19/2006
Last updated
01/06/2016
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