Individual
BETTY J WANJAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2131 DAVIDSOVILLE RD, CROFTON, MD 21114
(410) 721-1000
Mailing address
2651 RAINY SPRING CT, ODENTON, MD 21113-3304
(410) 900-7510
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
MD
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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