NPI 1235258104

Edith Deloris Wynn, COTA

Practitioner Occupational Therapy Assistant Hampton, VA

Practice location

Address: 305 Marcella Rd, Hampton, VA 23666-2433
Phone: (757) 825-0455
Mailing address: 112 Bridle Ln, Newport News, VA 23608-8252

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X

Other Occupational Therapy Assistant providers in Virginia →

Registry record

NPI: 1235258104
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.