Individual
MRS. RHONDA DAVIDSON WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1803 MICCOSUKEE COMMONS DRIVE STE 202, TALLAHASSEE, FL 32308
(850) 402-0200
(850) 402-0564
Mailing address
6255 HINES HILL CIRCLE, TALLAHASSEE, FL 32312
(850) 562-2139
(850) 562-2139
Taxonomy
Speciality
Code
Description
License number
State
124Q00000X
Dental Hygienist
Primary
DH0004393
FL
225100000X
Physical Therapist
PT19219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
Y063R
BCBS
FL
Enumeration date
11/07/2006
Last updated
09/11/2025
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