| Mr Jason Wildeman, OTR/L | |
|
3351 Sw 4th St, Bentonville, AR 72712-9137 | |
| (479) 936-6265 | |
| Not Available |
| Full Name | Mr Jason Wildeman |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 3351 Sw 4th St, Bentonville, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396701520 | NPI | - | NPPES |
| 5W780 | Other | AR | BLUECROSS BLUESHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | OTR 1463 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jason Wildeman, OTR/L 3351 Sw 4th St, Bentonville, AR 72712-9137 Ph: (479) 936-6265 | Mr Jason Wildeman, OTR/L 3351 Sw 4th St, Bentonville, AR 72712-9137 Ph: (479) 936-6265 |
Tabitha Dawn Cooper, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713 Phone: 479-795-1260 Fax: 479-795-1261 | |
Mrs. Callie Antuna, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Tiger Blvd, Bentonville, AR 72712 Phone: 479-254-5065 | |
Dr. Olivia Claire Brown, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713 Phone: 479-795-1260 | |
Mr. Kevin Timothy Lucas, OTRL Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3102 Nw Alberta, Bentonville, AR 72712 Phone: 479-685-3404 | |
Maggie B Grymes, OTD Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3201 Sw Regency Pkwy Ste 5, Bentonville, AR 72712 Phone: 479-252-3321 | |
Molly Mcgehee, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2713 Se I St Ste 5, Bentonville, AR 72712 Phone: 479-250-4355 Fax: 479-250-4355 | |
Lauren Vavra, MS OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Tiger Blvd, Bentonville, AR 72712 Phone: 501-317-7880 |