Individual
MRS. MONICA JEAN WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT
Contact information
Practice address
615 S BOWER ST, GREENVILLE, MI 48838-2628
(616) 754-4691
Mailing address
897 MILL ST, ALMA, MI 48801-2150
(989) 331-4068
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010806
MI
Other
Enumeration date
05/24/2021
Last updated
05/24/2021
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