Individual
BRAYLEE KRISANNA WILDMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
12 WESTBROOK CMN, WESTBROOK, ME 04092-2819
(207) 591-7210
Mailing address
241 CHAPMAN RD, NEWBURGH, ME 04444-5150
(207) 656-9241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4533
ME
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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