Individual
BROOKE MICHELE WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
592 NE 60TH ST, MIAMI, FL 33137-2246
(305) 757-1966
Mailing address
4294 SW 131ST AVE, DAVIE, FL 33330-4732
(954) 551-3702
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT24665
FL
Other
Enumeration date
10/12/2023
Last updated
10/12/2023
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