Individual
CASSANDRA JANE WILDENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
10755-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36131200
—
WI
Enumeration date
05/03/2007
Last updated
07/26/2023
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