Individual
MRS. JILL CHRISTINE WILD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
396 MAIN ST, LUMBERTON, NJ 08048-9566
(267) 614-1810
Mailing address
396 MAIN ST, LUMBERTON, NJ 08048-9566
(267) 614-1810
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA01169500
NJ
Other
Enumeration date
04/05/2006
Last updated
07/08/2007
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