| NPI | 1386047637 |
|---|---|
| Former Name | JANEY WILDING |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: IL 070006136) |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: IL 070006136) |
| Enumeration Date | 2014-10-01 |
| Last Update Date | 2014-10-01 |