Individual
LYNN WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13150 FM 529 RD STE 114, HOUSTON, TX 77041-2303
(713) 896-1815
Mailing address
13150 FM 529 RD STE 114, HOUSTON, TX 77041-2303
(713) 896-1815
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210021
TX
Other
Enumeration date
09/29/2009
Last updated
09/29/2009
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