Whalio Doctors

NPI 1699844993

Ann Marie Wildman, CTRS

Practitioner Recreation Therapist Boise, ID

Practice location

Address
600 N Robbins Rd, Boise, ID 83702-4565
Phone
(208) 385-3232
Fax
(208) 489-4052
Mailing address
190 E Bannock St, Boise, ID 83712-6241

Registered specialties (2)

Recreation Therapist Primary
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence NCTRS43873
Recreation Therapist
Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225800000X Licence CTRS43873 (ID)

Registry record

NPI
1699844993
Entity type
Individual
Sex (as registered)
Female
NPI issued
8 Nov 2006
Record last updated
21 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.