Doctor Name: | MRS. VICKY LYNNE WILDER |
NPI Number: | 1023315710 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC |
License Number: | 466-1986 |
Business Practice Address: | 8913 Blvd Of The General Spotsylvania, VA - 22553 |
Business Phone Number: | 5407867227 |
Business Fax Number: | 8777713419 |
Mailing Address: | 8913 Boulvard Of The General, SPOTSYLVANIA |
State: | VA |
Postal Code: | 22553 |
Phone Number: | 5407867227 |
Fax Number: | 8777713419 |
NPI Enumeration Date: | 02/16/2011 |
NPI Last Update Date: | 02/16/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225600000X |
License Number: | 466-1986 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Dance Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | The dance therapist, sometimes called a movement therapist, focuses on rhythmic body movements as a medium of physical and psychological change. Dance therapy is practiced more often with mental health patients than with physically disabled patients. A master |