Individual
REBECCA WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DC
Contact information
Practice address
1212 SAINT GEORGE AVE, CHARLOTTESVILLE, VA 22901-4146
(434) 218-2215
Mailing address
1212 SAINT GEORGE AVE, CHARLOTTESVILLE, VA 22901-4146
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557368
VA
Other
Enumeration date
09/12/2016
Last updated
09/12/2016
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