Carroll, Wanda
Carroll, Wanda is an individual health care provider with primary practice located at 839 Cottonwood Dr , Severna Park MD 21146-2836. She recently has 5 registered licenses in different health care specialties including Other Service Providers / Specialist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant, Nursing Service Related Providers / Home Health Aide, Nursing Service Related Providers / Nurse's Aide. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant is her primary health care specialty. Carroll, Wanda can be contacted via phone (443) 986-2959.Contact Information
Primary practice address
839 Cottonwood Dr
Severna Park MD 21146-2836
Phone: (443) 986-2959
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Other Service Providers / Specialist | 174400000X | M00487 | Maryland |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist | 225700000X | M00487 | Maryland |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapy Assistant | 225200000X | A3443 | Maryland |
Nursing Service Related Providers / Home Health Aide | 374U00000X | A00010416 | Maryland |
Nursing Service Related Providers / Nurse's Aide | 376K00000X | A00010416 | Maryland |
Profile Details
NPI number | 1356566731 |
---|---|
LBN Legal business name | Carroll, Wanda |
Credentials | PTA, LMT, CNA |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 13th, 2007 |
Last updated | Jun 9th, 2015 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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