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1821070046
BETH WILDER
OLYMPIA, WA
NPI
1821070046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WA OT00000616)
Enumeration Date
2005-11-15
Last Update Date
2017-05-25
Business Address
-- BETH WILDER OTR/L
7618 FAIR OAKS RD SE
OLYMPIA, WA 98513-6421
Phone number: 360-493-2006
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Mailing Address
-- BETH WILDER OTR/L
PO BOX 15196
TUMWATER, WA 98511-5196
Phone number: 360-493-2006
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