MS. Debora Carol Wild, PT
NPI #1235595372 in Lackawanna, New York
Provider Information
- NPI Number
- 1235595372
- Entity Type
- Individual
- Name
- MS. Debora Carol Wild, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Jan 5, 2016
- Last Updated
- Jan 5, 2016
Practice Location
- Address
- 55 MELROY AVE
- City
- Lackawanna
- State
- New York
- ZIP Code
- 14218-1658
- Phone
- (716) 819-5036
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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