| Wildwood Occupational Therapy, Inc. | |
|
245 Winklers Creek Rd Unit B Boone NC 28607-7838 | |
| (828) 773-8477 | |
| (877) 384-7096 |
| Full Name | Wildwood Occupational Therapy, Inc. |
|---|---|
| Speciality | Occupational Therapist |
| Location | 245 Winklers Creek Rd Unit B, Boone, North Carolina |
| Authorized Official Name and Position | Natalie Cooke Cooper (OT/L, DIRECTOR) |
| Authorized Official Contact | 8287738477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Wildwood Occupational Therapy, Inc. Po Box 2496 Boone NC 28607-2496 Ph: (828) 773-8477 | Wildwood Occupational Therapy, Inc. 245 Winklers Creek Rd Unit B Boone NC 28607-7838 Ph: (828) 773-8477 |
| NPI Number | 1023253440 |
|---|---|
| Provider Enumeration Date | 12/15/2008 |
| Last Update Date | 08/20/2024 |
| Certification Date | 08/20/2024 |
| Medicare PECOS PAC ID | 4981943008 |
|---|---|
| Medicare Enrollment ID | O20190306002402 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023253440 | NPI | - | NPPES |
| 7301675 | Medicaid | NC |
| Provider Name | Natalie C Cooper |
|---|---|
| Provider Type | Practitioner - Occupational Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1134170715 PECOS PAC ID: 8022357144 Enrollment ID: I20190306002635 |
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