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

KEVIN F WILDES, LPTA,CSCS

Active Sole Proprietor

KEVIN F WILDES, LPTA,CSCS is a Occupational Therapist healthcare provider located in CANTON, Georgia. NPI 1912241357 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · CANTON, GA

Registration Details

NPI Number
1912241357
Provider Type
Individual
Gender
Male
NPI Issued
Nov 26, 2012 (13.681475576992 yrs)
Last Updated
Nov 26, 2012
License
1633 (GA)
Sole Proprietor
Yes

Practice Information

Address
133 ROSEBURY DR
CANTON, GA, 301157558
Browse GA providers · Browse ZIP 30115
Phone
7707046307
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in CANTON, GA

Name Credential NPI
MRS. KRYSTYNA S. BELL PTA 1265643118
MR. GARY A SHANKMAN PTA 1891065637
MRS. ELIZABETH ANNE LYEN PTA 1679847289
JESSICA A COOK PTA 1427399518
LORI ANN HANSON PTA 1508210113
BONNY SPEARS PTA 1790297018
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.