Individual
VANESSA CAROL WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
104 S FREYA ST, SPOKANE, WA 99202-4862
(509) 554-5565
Mailing address
104 S FREYA ST, SPOKANE, WA 99202-4862
(509) 554-5565
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/16/2025
Last updated
08/16/2025
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