Wildfree Kids Ot, Llc

LBN: Wildfree Kids Ot, Llc
Wildfree Kids Ot, Llc is an health care organization with primary practice located at 4508 S Carillon Dr , Wasilla AK 99623-0202. The organization recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as the primary health care specialty. Wildfree Kids Ot, Llc can be contacted via phone (907) 215-4438, or through Blount, Jillian Marie via phone (907) 215-4438.

Contact Information

Primary practice address
4508 S Carillon Dr Wasilla AK 99623-0202
Phone: (907) 215-4438
Fax: (907) 215-4707
Website:
Map and Directions
Authorized official contact:
Name: Blount, Jillian Marie MOT
Phone: (907) 215-4438

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X

Profile Details

NPI number 1760114243
LBN Legal business name Wildfree Kids Ot, Llc
DBA Doing business as
Authorized official Blount, Jillian Marie MOT
Entity Organization
Organization subpart 1 No
Enumeration date Jun 24th, 2022
Last updated Aug 15th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760114243 NPPES
Alaska MEDICAID 1730280

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