Wildfree Kids Ot, LLC

NPI #1760114243 in Wasilla, Alaska

Provider Information

NPI Number: 1760114243
Entity Type: Organization
Organization Name: Wildfree Kids Ot, LLC
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 24, 2022
Last Updated: Aug 15, 2022

Practice Location

Address: 4508 S CARILLON DR
City: Wasilla
State: Alaska
ZIP Code: 99623-0202
Phone: (907) 215-4438

Authorized Official

Name: JILLIAN MARIE BLOUNT, MOT
Title: OWNER, MOT, OTR/L
Phone: (907) 215-4438

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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