Individual
MRS. WENDALYN WEAVER BATH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
112 WIGMORE CT, SAVANNAH, GA 31410-3164
(912) 897-3086
Mailing address
112 WIGMORE CT, SAVANNAH, GA 31410-3164
(912) 897-3086
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
000787
GA
Other
Enumeration date
01/29/2008
Last updated
01/29/2008
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