Individual
TORY ELANA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
63 MAIN ST, ESSEX JUNCTION, VT 05452-3122
(802) 857-5976
(802) 857-5175
Mailing address
90 HICKORY HILL RD, WILLISTON, VT 05495-9423
(423) 231-1040
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
040.0134304
VT
Other
Enumeration date
08/30/2021
Last updated
08/30/2021
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