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1760114243
WILDFREE KIDS OT, LLC
WASILLA, AK
NPI
1760114243
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Entity Type
Organization
Authorized Contact
JILLIAN MARIE BLOUNT
Owner, Mot, Otr/L
907-215-4438
Organization Subpart ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2022-06-24
Last Update Date
2022-08-15
Business Address
WILDFREE KIDS OT, LLC
4508 S CARILLON DR
WASILLA, AK 99623-0202
Phone number: 907-215-4438
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Mailing Address
WILDFREE KIDS OT, LLC
PO BOX 872579
WASILLA, AK 99687-2579
Phone number: 907-215-4438
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