Sierra N Wilde, ATC

NPI #1760947964 in Seaford, New York

Provider Information

NPI Number
1760947964
Entity Type
Individual
Name
Sierra N Wilde, ATC
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Feb 1, 2019
Last Updated
Feb 1, 2019

Practice Location

Address
1575 SEAMANS NECK RD
ZIP Code
11783-2055
Phone
(631) 560-6489

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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