Individual
JORDAN WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9396 ASHKING DR, MECHANICSVILLE, VA 23116-2725
(804) 512-6676
Mailing address
9396 ASHKING DR, MECHANICSVILLE, VA 23116-2725
(804) 512-6676
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2306605708
VA
Other
Enumeration date
03/14/2024
Last updated
03/14/2024
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