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Kezziah Wanene, OTA

NPI 1871918813 · on the registry since 2014 · sole proprietor

Practice

Address
8710 Emge Rd
Parkville, MD 21234
Phone
(410) 661-5955
Clinicians at this address
15

Registry record

Primary taxonomy
224Z00000X
224Z00000X
Licence states on file
MD
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2014-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland