Wilder, Beth
Wilder, Beth is an sole proprietor health care provider with primary practice located at 7618 Fair Oaks Rd Se , Olympia WA 98513-6421. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Wilder, Beth can be contacted via phone (360) 493-2006.Contact Information
Primary practice address
7618 Fair Oaks Rd Se
Olympia WA 98513-6421
Phone: (360) 493-2006
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT00000616 | Washington |
Profile Details
| NPI number | 1821070046 |
|---|---|
| LBN Legal business name | Wilder, Beth |
| Credentials | OTR/L |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 15th, 2005 |
| Last updated | May 25th, 2017 - about 9 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821070046 | NPPES |
| Washington | MEDICAID | 7681570 | |
| Washington | MEDICAID | 1045795 |
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