Organization
THERAPENDENT SOLUTIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MITCHELL WAYNE WILDER OTR/L (OCCUPATIONAL THERAPIST)
(606) 269-7680
Entity
Organization
Contact information
Practice address
193 WILLIAM WILDER RD, PINEVILLE, KY 40977-8508
(606) 269-7680
Mailing address
193 WILLIAM WILDER RD, PINEVILLE, KY 40977-8508
Taxonomy
Speciality
Code
Description
License number
State
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
Primary
—
—
Other
Enumeration date
11/18/2024
Last updated
11/18/2024
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