Samantha Sue Wilder, OTR

NPI #1316996473 in North Vernon, Indiana

Provider Information

NPI Number: 1316996473
Entity Type: Individual
Name: Samantha Sue Wilder, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 8, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 495 HAYDEN PIKE
City: North Vernon
State: Indiana
ZIP Code: 47265-1411
Phone: (812) 346-7508

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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