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Individual

MICHELLE WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2400 EASTPOINT PKWY STE 130, LOUISVILLE, KY 40223-4154
(502) 962-2400
Mailing address
14007 HICKORY RIDGE RD, LOUISVILLE, KY 40245-5176
(502) 777-2965
(502) 742-5553

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003773
KY

Other

Enumeration date
06/15/2006
Last updated
12/16/2020
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