STEPHANIE WILD

LARGO, FL
NPI1962932939
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence:   OT18557)
Additional Taxonomies225X00000X Occupational Therapist
Enumeration Date2017-06-13
Last Update Date2018-02-05
Business Address
STEPHANIE WILD OTR/L
8254 118TH AVENUE NORTH SUITE 100
LARGO, FL 33773
Phone number: 727-541-5304
Mailing Address
STEPHANIE WILD OTR/L
400 64TH AVENUE #502W
ST PETE BEACH, FL 33706
Phone number: