Darce Danae Wilde, PTA

NPI #1194038893 in El Reno, Oklahoma

Provider Information

NPI Number: 1194038893
Entity Type: Individual
Name: Darce Danae Wilde, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jul 22, 2010
Last Updated: Jul 22, 2010

Practice Location

Address: 1300 S COUNTRY CLUB RD
City: El Reno
State: Oklahoma
ZIP Code: 73036-5304
Phone: (405) 422-1291

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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