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Individual

ALEXA WILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
2845 GREENBRIER RD, GREEN BAY, WI 54311-6519
(920) 288-4776
(920) 288-3594
Mailing address
3301 W FOREST HOME AVE, MILWAUKEE, WI 53215-2843

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6018
WI

Other

Enumeration date
03/22/2022
Last updated
03/22/2022
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