Wildman, Deanna Elizabeth

Wildman, Deanna Elizabeth is an individual health care provider with primary practice located at 1302 W Sunset St , Springfield MO 65807-5943. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Wildman, Deanna Elizabeth can be contacted via phone (417) 718-1085.

Contact Information

Primary practice address
1302 W Sunset St Springfield MO 65807-5943
Phone: (417) 718-1085
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 2017005627 Missouri

Profile Details

NPI number 1275055907
LBN Legal business name Wildman, Deanna Elizabeth
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 14th, 2017
Last updated Jul 14th, 2017 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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