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Contact Information

LISA B WILD, OTR/L
9494 E BECKER LANE
LIFE CARE CENTER OF SCOTTSDALE
SCOTTSDALE, AZ85260
 Phone: 480-760-4236
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for LISA B WILD · (Female)

NPI Number 1235332214
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 06/07/2007
Last updated 02/24/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 3619
  • FL License # 3633
  • MI License # 5201006730
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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