Individual
DR. DAVID ANTHONY WILDERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT DPT MS
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J1-0002854
DE
225100000X
Physical Therapist
PT006145L
PA
Other
Enumeration date
05/03/2006
Last updated
06/19/2014
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