Organization
MICHELLE WILDMAN, OCCUPATIONAL THERAPIST, P.A.
Active
Organization
MICHELLE WILDMAN, OCCUPATIONAL THERAPIST, P.A.
Active
Other names
KIDZ KORNER
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE ANNE WILDMAN OT (DIRECTOR)
(850) 543-6227
Entity
Organization
Contact information
Practice address
122 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548-4917
(850) 543-6227
(850) 863-9973
Mailing address
122 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548-4917
(850) 543-6227
(850) 863-9973
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
11903
FL
Other
Enumeration date
11/18/2009
Last updated
11/18/2009
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