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Organization
WILDFLOWER PHYSICAL THERAPY & WELLNESS
Active
Organization
WILDFLOWER PHYSICAL THERAPY & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIRANDA ROBLES PT, DPT (CEO)
(111) 111-1111
Entity
Organization
Contact information
Practice address
970 FORT WAYNE AVE STE C, INDIANAPOLIS, IN 46202-4329
(906) 282-8314
Mailing address
1200 GOLFVIEW DR, IRON MOUNTAIN, MI 49801-6620
(906) 282-8314
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/25/2024
Last updated
12/04/2024
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