Individual
MARK WEDELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
400 W CUMMINGS PARK, WOBURN, MA 01801-6519
(781) 933-8800
Mailing address
90 N MAPLE ST, NORTH MASSAPEQUA, NY 11758-2635
(516) 809-5185
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
008197
NY
Other
Enumeration date
06/29/2007
Last updated
07/08/2007
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