Awhawanna Wenona Wise
Occupational Therapy Assistant in Cedar Hill, TX. Individual provider (NPI-1).
NPI number1801375985
StatusActive
Last updated in NPPESAug 9, 2018
Details
- NPI
- 1801375985
- Entity type
- Individual (NPI-1)
- Name
- Awhawanna Wenona Wise
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Aug 9, 2018
- Last updated
- Aug 9, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 213609 | TX | Yes |
Practice location
224 W Pleasant Run RdCedar Hill, TX 75104-5402
Phone 972-291-5977
Mailing address
224 W Pleasant Run RdCedar Hill, TX 75104-5402
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- Pamela G New, COTANPI 1629272752
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All 12 Occupational Therapy Assistant providers in Cedar Hill · All 940 providers in Cedar Hill
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