Individual
MISS WANDA A HAYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTAL
Contact information
Practice address
1275 LAKESIDE AVE E, CLEVELAND, OH 44114-1132
(216) 241-8320
(216) 861-0253
Mailing address
1874 WYMORE AVE, EAST CLEVELAND, OH 44112-3914
(216) 541-3611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA00627
OH
Other
Enumeration date
02/23/2007
Last updated
07/08/2007
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