| NPI | 1679183875 |
|---|---|
| Former Name | CAROLINE WILDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: AL PTH9814) |
| Enumeration Date | 2020-08-03 |
| Last Update Date | 2022-11-28 |