JACK ANTHONY WILDER

OLYMPIA, WA
NPI1326269739
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: WA  PT00009619)
Enumeration Date2007-05-01
Last Update Date2007-07-08
Business Address
Mr. JACK ANTHONY WILDER PT
405 BLACK HILLS LN SW SUITE G
OLYMPIA, WA 98502-8661
Phone number: 360-956-2562
Mailing Address
Mr. JACK ANTHONY WILDER PT
4701 77TH CT SE
OLYMPIA, WA 98501-9697
Phone number: 360-455-9068
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