Individual
WENDY RAE UNDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2679 N FOREST RIDGE BLVD, HERNANDO, FL 34442-5123
(352) 746-2371
(352) 746-3729
Mailing address
8477 S SUNCOAST BLVD, HOMOSASSA, FL 34446-5028
(352) 382-7214
(352) 382-7781
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA9841
FL
Other
Enumeration date
05/06/2021
Last updated
05/06/2021
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