Individual
WANDA SUE WITHINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9000 GOLDEN VALLEY RD, CRYSTAL, MN 55427-4471
(763) 543-9000
Mailing address
9000 GOLDEN VALLEY RD, GOLDEN VALLEY, MN 55427-4471
(763) 543-9000
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
101181
MN
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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