Individual
MISS STEPHANIE L. WILCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
180 CANAL PL, PHILADELPHIA, MS 39350-8908
(601) 650-0002
(601) 650-9902
Mailing address
180 CANAL PL, PHILADELPHIA, MS 39350-8908
(601) 650-0002
(601) 650-9902
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2121
MS
Other
Enumeration date
10/22/2007
Last updated
11/05/2010
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