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MICHELLE ANNE WILDMAN OTRL
NPI 1003962317
Day Training, Developmentally Disabled Services in Fort Walton Beach, FL

Active since January 27, 2007
122 EGLIN PKWY NE, FORT WALTON BEACH, FL 32548(850) 543-6227(850) 863-9974 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Michelle Anne Wildman Otrl NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHELLE ANNE WILDMAN OTRL (NPI 1003962317) is an individual day training, developmentally disabled services provider in Fort Walton Beach, Florida, licensed in Florida (11903) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1003962317
Entity TypeIndividualFemale
Primary Taxonomy251C00000X
Provider Legal NameMICHELLE ANNE WILDMANCredential: OTRL
Location Address122 EGLIN PKWY NEFort Walton Beach, FL 32548-4917
Mailing Address852 Radford CtShalimar, FL 32579-2169 · (850) 543-6227 · Fax (850) 863-9974
Phone(850) 543-6227
Fax(850) 863-9974
Sole ProprietorYes
Enumeration DateJanuary 27, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1003962317 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDay Training, Developmentally Disabled ServicesAgencies
Taxonomy Code251C00000X
License✔ Licensed in FL · 11903
Definition
These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.
122 EGLIN PKWY NE, Fort Walton Beach, FL 32548
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Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CATHERINE RILEY M.A.,CCC-SLP
Speech-Language Pathologist
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 863-9973
MICHELLE WILDMAN, OCCUPATIONAL THERAPIST, P.A.
Day Training, Developmentally Disabled Services
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 543-6227
MARY MILLER TATUM M.ED, CCC-SLP
Speech-Language Pathologist
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 863-9973
MARGARET LUMMUS HAS
Hearing Instrument Specialist
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 243-3196
BARBARA LEE CARTER
Speech-Language Pathologist
122 EGLIN PKWY NE
FORT WALTON BEACH, FL 32548
Okaloosa County (850) 863-9973

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michelle Wildman's NPI number?

The NPI number for Michelle Wildman is 1003962317. It was assigned to this individual provider in the NPPES registry on January 27, 2007.

Where is Michelle Wildman located?

Michelle Wildman practices at 122 Eglin Pkwy NE, Fort Walton Beach, FL 32548. The listed phone number is (850) 543-6227.

What is Michelle Wildman's specialty?

The primary specialty registered for this NPI is Day Training, Developmentally Disabled Services with taxonomy code 251C00000X.

When was this NPI record last updated?

The NPPES record for Michelle Wildman was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.