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Individual

ANN MARIE WILDMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CTRS

Contact information

Practice address
600 N ROBBINS RD, BOISE, ID 83702-4565
(208) 385-3232
(208) 489-4052
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
(208) 381-2222
(208) 367-2674

Taxonomy

Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
CTRS43873
ID
225800000X
Recreation Therapist
Primary
NCTRS43873

Other

Enumeration date
11/08/2006
Last updated
07/21/2022
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