DESIREE WILDEMAN

FARGO, ND
NPI1205100203
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: ND  1221)
Enumeration Date2012-03-08
Last Update Date2012-03-08
Business Address
-- DESIREE WILDEMAN OTR/L
3060 FRONTIER WAY
FARGO, ND 58104-8909
Phone number: 701-232-2340
Mailing Address
-- DESIREE WILDEMAN OTR/L
3060 FRONTIER WAY
FARGO, ND 58104-8909
Phone number: 701-232-2340
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