Individual
SYDNEY WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
18511 HIGHLANDER MEDICS ST, FORT BLISS, TX 79906-5327
(540) 931-1159
Mailing address
5119 ARENA DR, LAS CRUCES, NM 88012-0664
(540) 931-1159
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
OT-2024-0016
NM
Other
Enumeration date
01/08/2025
Last updated
01/08/2025
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