MS. Jennifer L Wild, OTR

NPI #1396867750 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1396867750
Entity Type: Individual
Name: MS. Jennifer L Wild, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Apr 5, 2007
Last Updated: Jan 22, 2021

Practice Location

Address: 1483 SW BOUGAINVILLEA AVE
City: Port Saint Lucie
State: Florida
ZIP Code: 34953-7302
Phone: (772) 336-6928

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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