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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

STEPHANIE WILDERMUTH, COTA/L

Active Sole Proprietor

STEPHANIE WILDERMUTH, COTA/L is a Occupational Therapy Assistant healthcare provider located in LAS VEGAS, Nevada. NPI 1902363658 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · LAS VEGAS, NV

Registration Details

NPI Number
1902363658
Provider Type
Individual
Gender
Female
NPI Issued
Feb 28, 2019 (7.4615350509885 yrs)
Last Updated
Feb 28, 2019
License
16-1316 (NV)
Sole Proprietor
Yes

Practice Information

Address
10401 W CHARLESTON BLVD
LAS VEGAS, NV, 891351151
Browse NV providers · Browse ZIP 89135
Phone
7022074229
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in LAS VEGAS, NV

Name Credential NPI
GUADALUPE ORTEGA 1699870337
ELROY T LEE COTA 1588823876
GREG DUTCHOVER COTA/L 1871752071
ANNIEJOY E CUENTO COTA 1710146949
CLEO JENNY MORALES COTA/L 1356500490
MS. SARAH JEANETTE VOLLAIRE COTA/L 1538320841
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.