Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jennifer L Wild, OTR

Individual provider Occupational Therapist · NPI 1396867750

MS. Jennifer L Wild, OTR is an Occupational Therapist in Port Saint Lucie, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1483 SW Bougainvillea Ave
Port Saint Lucie, FL 34953-7302
Phone: (772) 336-6928
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT8477 (FL)

Record details

NPI number1396867750
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedApril 5, 2007
Last updated in NPPESJanuary 22, 2021
Certification dateJanuary 22, 2021

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