Jennifer L. Wilde, DPT

NPI #1235412412 in Issaquah, Washington

Provider Information

NPI Number: 1235412412
Entity Type: Individual
Name: Jennifer L. Wilde, DPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: DPT
Enumeration Date: Sep 23, 2011
Last Updated: Jul 24, 2012

Practice Location

Address: 510 8TH AVE NE
Address 2: SUITE 340
City: Issaquah
State: Washington
ZIP Code: 98029-5436
Phone: (425) 313-3055

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Health Worker	172V00000X
Physical Therapist	225100000X	Primary

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