Individual
NICHOLAS B WILDMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
217 E 5TH ST, EUREKA, MO 63025-1223
(636) 549-0151
(636) 549-0152
Mailing address
2122 YORK RD STE 300, OAK BROOK, IL 60523-1925
(630) 575-1980
(630) 928-5080
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2021036930
MO
Other
Enumeration date
01/04/2022
Last updated
01/04/2022
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