Individual
ANNA WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1800 OLD PECOS TRL, SANTA FE, NM 87505-4759
(505) 424-8777
Mailing address
1262 SENDA DEL VALLE, SANTA FE, NM 87507-7178
(505) 920-7966
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4130
NM
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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