Desiree Wildeman, OTR/L
NPI #1205100203 in Fargo, North Dakota
Provider Information
- NPI Number
- 1205100203
- Entity Type
- Individual
- Name
- Desiree Wildeman, OTR/L
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist - Pediatrics
- Credential
- OTR/L
- Enumeration Date
- Mar 8, 2012
- Last Updated
- Mar 8, 2012
Practice Location
- Address
- 3060 FRONTIER WAY
- City
- Fargo
- State
- North Dakota
- ZIP Code
- 58104-8909
- Phone
- (701) 232-2340
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist - Pediatrics — Pediatrics |
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