Individual
JULIE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2323 W FRONT ST, TYLER, TX 75702-7704
(903) 597-1351
(903) 535-7386
Mailing address
PO BOX 5025, TYLER, TX 75712-5025
(903) 597-1351
(903) 535-7386
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
09/22/2006
Last updated
09/02/2010
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