Individual
DAVID BRICE WISDOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSPT
Contact information
Practice address
308 BRYNN MARR RD, JACKSONVILLE, NC 28546
(910) 478-9701
(910) 478-9703
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
P17806
NC
Other
Enumeration date
01/05/2012
Last updated
06/04/2024
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