DEANNA ELIZABETH WILDMAN

SPRINGFIELD, MO
NPI1275055907
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: MO  2017005627)
Enumeration Date2017-07-14
Last Update Date2017-07-14
Business Address
DEANNA ELIZABETH WILDMAN COTA/L
1302 W SUNSET ST
SPRINGFIELD, MO 65807-5943
Phone number: 417-718-1085
Mailing Address
DEANNA ELIZABETH WILDMAN COTA/L
649 S OAK GROVE AVE
SPRINGFIELD, MO 65802-2829
Phone number: 417-718-1085
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