Individual provider · Type 1 NPI

Wanda Cecelia Hairston, PTA

Physical Therapy Assistant · Severna Park, MD

NPI number 1750406435 Active

Practice location

24 Truck House Rd
Severna Park, MD 21146-2715

Call (410) 544-4220 Map

Fax (410) 647-9484

Mailing address

3520 Derby Shire Cir
Windsor Mill, MD 21244-3624

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000XA1258 (MD)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1750406435

Wanda Cecelia Hairston, PTA's National Provider Identifier is 1750406435, issued on Mar 20, 2007. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Severna Park, MD. The record was last updated on Jul 8, 2007.