Michelle Anne Wildman, OTRL
Michelle Anne Wildman, OTRL is a Developmentally Disabled Services Day Training Agency in Fort Walton Beach, Florida. Practices as a sole proprietor. Licensed in Florida.
- Licensed in
- FL
- In the registry since
- 2007
Practice location Address checks out
122 Eglin Pkwy NEFort Walton Beach, FL 32548-4917
Phone: (850) 543-6227
Fax: (850) 863-9974
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Specialties & licences
| Developmentally Disabled Services Day Training Agency (primary) | Taxonomy 251C00000X · Licence 11903 (FL) |
|---|
Record details
| NPI number | 1003962317 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTRL |
| Sole proprietor | Yes |
| NPI enumerated | January 27, 2007 |
| Last updated in NPPES | July 8, 2007 |
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