Individual
MRS. HEIDY WILDERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1845 SAXON LN, MAPLE GLEN, PA 19002-3170
(215) 657-6023
Mailing address
1845 SAXON LN, MAPLE GLEN, PA 19002-3170
(215) 657-6023
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC000917L
PA
Other
Enumeration date
08/21/2007
Last updated
08/21/2007
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