Organization
WILDWOOD OCCUPATIONAL THERAPY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATALIE COOKE COOPER OT/L (OT/L, DIRECTOR)
(828) 773-8477
Entity
Organization
Contact information
Practice address
245 WINKLERS CREEK RD UNIT B, BOONE, NC 28607-7838
(828) 773-8477
(877) 384-7096
Mailing address
PO BOX 2496, BOONE, NC 28607-2496
(828) 773-8477
(828) 297-2138
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7301675
—
NC
Enumeration date
12/15/2008
Last updated
08/20/2024
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