SearchMissouriOccupational Therapy Assistant

Deanna Wildman, COTA/L

NPI 1275055907 · on the registry since 2017

Practice

Address
1302 W Sunset St
Springfield, MO 65807
Phone
(417) 718-1085
Organisation at this address
Bethesda Foundation
Aegis Group Practice Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
5

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
MO
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2017-07-14
Status
Not present in the most recent federal file

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Missouri