MR. Jack Anthony Wilder, PT
NPI #1326269739 in Olympia, Washington
Provider Information
- NPI Number
- 1326269739
- Entity Type
- Individual
- Name
- MR. Jack Anthony Wilder, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist - Orthopedic
- Credential
- PT
- Enumeration Date
- May 1, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 405 BLACK HILLS LN SW
- Address 2
- SUITE G
- City
- Olympia
- State
- Washington
- ZIP Code
- 98502-8661
- Phone
- (360) 956-2562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist - Orthopedic — Orthopedic |
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