Individual
ASHLEY C WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4 MALL CT UNIT A, SAVANNAH, GA 31406-3666
(912) 349-4843
Mailing address
4 MALL CT UNIT A, SAVANNAH, GA 31406-3666
(912) 349-4843
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT009619
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
MA
Enumeration date
09/21/2021
Last updated
08/12/2025
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