Individual
KALEY WILDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
25 W CRYSTAL LAKE ST STE 200, ORLANDO, FL 32806-4476
(407) 254-2500
Mailing address
2536 GALLIANO CIR, WINTER PARK, FL 32792-1512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4704
FL
Other
Enumeration date
08/23/2017
Last updated
09/06/2017
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