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1457833832
KELLY WILD
OAKLAND, CA
NPI
1457833832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 295056)
Enumeration Date
2018-09-03
Last Update Date
2018-09-03
Business Address
KELLY WILD DPT
4341 PIEDMONT AVE STE 201
OAKLAND, CA 94611-4792
Phone number: 510-547-1630
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Mailing Address
KELLY WILD DPT
4341 PIEDMONT AVE STE 201
OAKLAND, CA 94611-4792
Phone number:
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