Individual provider · Type 1 NPI

Taylor Wildermuth, OTR/L

Occupational Therapist · St. Louis, MO

NPI number 1720818008 Active

Practice location

12110 Clayton Rd
St. Louis, MO 63131-2599

Mailing address

12501 Lighthouse Way Dr Apt G
Creve Coeur, MO 63141-5401

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2024009244 (MO)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1720818008

Taylor Wildermuth, OTR/L's National Provider Identifier is 1720818008, issued on Aug 2, 2024. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in St. Louis, MO. The record was last updated on Aug 2, 2024.