Individual
DR. BRENT WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2079 ORANGE TREE LN, REDLANDS, CA 92374-2849
(909) 435-5729
(909) 295-3232
Mailing address
2079 ORANGE TREE LN, REDLANDS, CA 92374-2849
(909) 435-5729
(909) 295-3232
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
42104
CA
Other
Enumeration date
01/07/2015
Last updated
03/07/2022
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