Individual
MS. JENNIFER L WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1483 SW BOUGAINVILLEA AVE, PORT SAINT LUCIE, FL 34953-7302
(772) 336-6928
Mailing address
10702 SW ELSINORE DR, PORT SAINT LUCIE, FL 34987-2149
(772) 336-6928
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT8477
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
884456900
—
FL
Enumeration date
04/05/2007
Last updated
01/22/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us