Kasey Wild

NPI #1932658804 in Geneva, New York

Provider Information

NPI Number: 1932658804
Entity Type: Individual
Name: Kasey Wild
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 3, 2016
Last Updated: Oct 3, 2016

Practice Location

Address: 700 LIBERTY CMNS
City: Geneva
State: New York
ZIP Code: 14456-2064
Phone: (315) 789-0691

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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