Dawn Marie Wildermuth

NPI #1235331075 in Venice, Florida

Provider Information

NPI Number: 1235331075
Entity Type: Organization
Organization Name: Dawn Marie Wildermuth
Primary Specialty: Specialist
Enumeration Date: Jun 4, 2007
Last Updated: Jul 4, 2008

Practice Location

Address: 411 COMMERCIAL CT
Address 2: STE F
City: Venice
State: Florida
ZIP Code: 34292-1650
Phone: (941) 468-6701

Authorized Official

Name: DAWN WILDERMUTH, MS CCC/SLP
Title: OWNER
Phone: (941) 468-6701

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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