Individual
MRS. LINDA M WIKLUND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1668 E SICILY ST, MERIDIAN, ID 83642-1449
(208) 286-4075
Mailing address
1668 E SICILY ST, MERIDIAN, ID 83642-1449
(208) 286-4075
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-116
ID
Other
Enumeration date
11/21/2012
Last updated
11/21/2012
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