TODD WILDE

SIERRA VISTA, AZ
NPI1588016760
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2251X0800X Physical Therapist, Orthopedic
(Licence: AZ  12331)
Enumeration Date2016-07-12
Last Update Date2016-07-12
Business Address
-- TODD WILDE DPT
2151 S HIGHWAY 92
SIERRA VISTA, AZ 85635-5282
Phone number: 520-335-1615
Mailing Address
-- TODD WILDE DPT
15 APEX DR
HIGHLAND, IL 62249-1282
Phone number: