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Individual

DR. DAVID ANTHONY WILDERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT DPT MS

Contact information

Practice address
1 CENTURIAN DR, SUITE 110, NEWARK, DE 19713-2137
(302) 633-5787
(302) 633-5781
Mailing address
1 CENTURIAN DR, SUITE 110, NEWARK, DE 19713-2137
(302) 633-5787
(302) 633-5781

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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