Individual
MS. LESLIE ANN WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
374 5TH AVE., BROOKLYN, NY 11215
(718) 499-5238
Mailing address
223 BERGEN ST., BROOKLYN, NY 11217
(718) 243-0783
(718) 243-0783
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
002960-1
NY
Other
Enumeration date
10/01/2008
Last updated
10/01/2008
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