Active NPIIndividual providerSole proprietor

Braylee K Wildman, MS, OTR/L

Occupational Therapist in Westbrook, Maine

NPI Number1407631955
Practice location
12 Westbrook Cmn, Westbrook, ME 04092-2819
Fax
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Last updated
August 31, 2023

Braylee Krisanna Wildman is an Occupational Therapist based in Westbrook, ME. Braylee Krisanna Wildman practices in Westbrook, ME and has the professional credentials of MS, OTR/L. The NPI Number for Braylee Krisanna Wildman is 1407631955 and holds a License No. OT4533 (ME). The current practice location address for Braylee Krisanna Wildman is 12 Westbrook Cmn, Westbrook, ME 04092-2819 and can be reached out via phone at 207-591-7210.

Provider Profile Details

NPI Number
1407631955
Provider Name
Braylee Krisanna Wildman
Credential
MS, OTR/L
Provider Entity Type
Individual
Gender
Female
Address
12 Westbrook Cmn, Westbrook, ME 04092-2819
Phone Number
207-591-7210
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
August 31, 2023
Last Update Date
August 31, 2023
Certification Date
August 31, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
12 Westbrook Cmn
Westbrook, ME 04092-2819
State
Maine
Zip
04092-2819
Phone Number
207-591-7210
Westbrook, ME 04092Get directions →

Provider Business Mailing Address Details

Address
241 Chapman RD
Newburgh, ME 04444-5150
City
Newburgh
State
ME
Zip
04444-5150
Phone Number
207-656-9241

License Information

License Number
OT4533
License State
ME
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Braylee K Wildman, MS, OTR/L?

The NPI number of Braylee K Wildman, MS, OTR/L is 1407631955. It was assigned on August 31, 2023 and is currently active in the NPPES registry.

What is the specialty of Braylee K Wildman, MS, OTR/L?

Braylee K Wildman, MS, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in ME under license number OT4533.

Where does Braylee K Wildman, MS, OTR/L practice?

The practice location is 12 Westbrook Cmn, Westbrook, ME 04092-2819. The office can be reached at 207-591-7210 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1407631955 directly on the NPPES registry website.

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