STEPHANIE WILDERMUTH

LAS VEGAS, NV
NPI1902363658
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: NV  16-1316)
Enumeration Date2019-02-28
Last Update Date2019-02-28
Business Address
STEPHANIE WILDERMUTH COTA/L
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135-1151
Phone number: 702-207-4229
Mailing Address
STEPHANIE WILDERMUTH COTA/L
10401 W CHARLESTON BLVD
LAS VEGAS, NV 89135-1151
Phone number: 702-207-4229
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