Individual
MRS. MELISSA GOTTHEIM WILDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2147 DAVIE AVE, GARDENS OF STATESVILLE, STATESVILLE, NC 28625-9200
(704) 878-8689
Mailing address
2222 SULLIVAN TRL, EASTON, PA 18040-7958
(610) 991-2034
(610) 438-2046
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
9242
NC
Other
Enumeration date
06/22/2006
Last updated
07/24/2024
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