JOSHUA BARNETT WILDE

IDAHO FALLS, ID
NPI1174374557
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ID  OT-2839)
Enumeration Date2024-04-01
Last Update Date2024-04-01
Business Address
JOSHUA BARNETT WILDE
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
Mailing Address
JOSHUA BARNETT WILDE
1460 ELK CREEK DR
IDAHO FALLS, ID 83404-8237
Phone number: 208-535-1286
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