Individual
JESSICA WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3377 S 150 E, COLUMBIA CITY, IN 46725-8780
(260) 449-1260
Mailing address
3377 S 150 E, COLUMBIA CITY, IN 46725-8780
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
31007111A
IN
Other
Enumeration date
08/12/2020
Last updated
08/12/2020
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