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1568155505
MITCHELL WILDER
LEXINGTON, KY
NPI
1568155505
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: KY 281329)
Enumeration Date
2023-05-26
Last Update Date
2023-06-06
Business Address
MITCHELL WILDER OT
3450 RICHMOND RD STE 130
LEXINGTON, KY 40509-2742
Phone number: 859-224-2273
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Mailing Address
MITCHELL WILDER OT
193 WILLIAM WILDER RD
PINEVILLE, KY 40977-8508
Phone number: 606-269-7680
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