Individual
ANGELA WILTSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3938 E MORROW DR, PHOENIX, AZ 85050-6332
(503) 949-7199
Mailing address
3938 E MORROW DR, PHOENIX, AZ 85050-6332
(503) 949-7199
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTH-008053
AZ
Other
Enumeration date
03/10/2020
Last updated
03/10/2020
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