Individual
JESSICA LEE WILDING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2446 HIGHLAND AVE, FALL RIVER, MA 02720-4504
(508) 679-0011
Mailing address
121 WINIFRED WAY, FALL RIVER, MA 02720
(508) 730-8338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4234
MA
Other
Enumeration date
10/30/2020
Last updated
10/30/2020
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