KENDALL E WILDE

KENNESAW, GA
NPI1417405499
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: GA  PT013169)
Additional Taxonomies225100000X Physical Therapist
(Licence: AZ  12414)
Enumeration Date2016-09-19
Last Update Date2017-10-20
Business Address
KENDALL E WILDE DPT
1615 RIDENOUR BLVD NW STE 204
KENNESAW, GA 30152-4464
Phone number: 770-580-8070
Mailing Address
KENDALL E WILDE DPT
8541 E ANDERSON DR STE 100 STE 100
SCOTTSDALE, AZ 85255-5430
Phone number: 480-585-6810