Richard Lee Wilde, COTA

NPI #1952559197 in Cleburne, Texas

Provider Information

NPI Number
1952559197
Entity Type
Individual
Name
Richard Lee Wilde, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Aug 29, 2008
Last Updated
Aug 29, 2008

Practice Location

Address
1108 W KILPATRICK ST
State
Texas
ZIP Code
76033-7477
Phone
(817) 202-9520

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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