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Individual

DANIEL LEE WILDER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
2905 TAZEWELL PIKE, KNOXVILLE, TN 37918-1874
(865) 686-1600
(865) 686-3380
Mailing address
6008 MORNING GLORY PL, KNOXVILLE, TN 37912-4548
(865) 686-1600
(865) 686-3380

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
7353
TN

Other

Enumeration date
07/15/2010
Last updated
07/15/2010
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