Individual
SAMANTHA SUE WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
495 HAYDEN PIKE, NORTH VERNON, IN 47265-1411
(812) 346-7508
(812) 346-9040
Mailing address
495 HAYDEN PIKE, NORTH VERNON, IN 47265-1411
(812) 346-7508
(812) 346-9040
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31002367A
IN
Other
Enumeration date
05/08/2006
Last updated
07/08/2007
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