Individual
BONNIE WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1329 BOULEVARD, WEST HARTFORD, CT 06119-1680
(860) 810-1631
Mailing address
1329 BOULEVARD, WEST HARTFORD, CT 06119-1680
(860) 810-1631
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
014180
—
Other
Enumeration date
04/01/2024
Last updated
04/01/2024
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