Individual
MR. CHRISTOPHER L WILDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
1068 W BALTIMORE PIKE, LOBBY LEVEL, MEDIA, PA 19063-5104
(610) 891-3030
(610) 891-3035
Mailing address
1068 W BALTIMORE PIKE, LOBBY LEVEL, MEDIA, PA 19063-5104
(610) 891-3030
(610) 891-3035
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT017190
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
WI1748119
PABLUE SHEILD
PA
Enumeration date
08/11/2006
Last updated
07/08/2007
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