Individual
MRS. RAQUEL FESTEJO WILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
HEALTHPRO HERITAGE, #1 MARCUS DRIVE STE 102, GREENVILLE, SC 29615
(864) 244-3626
(864) 501-4631
Mailing address
8059 EAST PRAIRIE ROAD, SKOKIE, IL 60076
(224) 659-4652
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070013766
IL
Other
Enumeration date
04/22/2008
Last updated
02/07/2022
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