Individual
MARGUERITE WILD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1857 VARSITY DR, CHESAPEAKE, VA 23324-1538
(757) 494-7555
Mailing address
4521 GLENEAGLE DR, VIRGINIA BEACH, VA 23462-4554
(757) 493-2988
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119000430
VA
Other
Enumeration date
03/16/2018
Last updated
03/16/2018
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