Individual
GRACE CATHRYN WILDGEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
150 TANNER RD UNIT B, GREENVILLE, SC 29607-6166
(864) 297-0220
Mailing address
1200 CORPORATE DR STE 400, HOOVER, AL 35242-5424
(423) 238-7217
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
13238
SC
Other
Enumeration date
03/05/2026
Last updated
03/05/2026
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