Provider Demographics
NPI:1255442828
Name:PARTYKA, WANDA CAROLINE (OCCUPATIONAL THERAPI)
Entity type:Individual
Prefix:
First Name:WANDA
Middle Name:CAROLINE
Last Name:PARTYKA
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 EAST FINCASTLE TURNPIKE
Mailing Address - Street 2:HEARTLAND REHABILITATION SERVICES
Mailing Address - City:NORTH TAZEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:24630
Mailing Address - Country:US
Mailing Address - Phone:276-988-0910
Mailing Address - Fax:276-988-0920
Practice Address - Street 1:1134 EAST FINCASTLE TURNPIKE
Practice Address - Street 2:HEARTLAND REHABILITATION SERVICES
Practice Address - City:NORTH TAZEWELL
Practice Address - State:VA
Practice Address - Zip Code:24630
Practice Address - Country:US
Practice Address - Phone:276-988-0910
Practice Address - Fax:276-988-0920
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004175225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist