Organization
WILDERMAN PHYSICAL THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID WILDERMAN PT, DPT, MS (OWNER/PRESIDENT)
(302) 691-9055
Entity
Organization
Contact information
Practice address
2626 BELAIRE DR, WILMINGTON, DE 19808-3835
(302) 691-9055
(302) 444-8440
Mailing address
2626 BELAIRE DR, WILMINGTON, DE 19808-3835
(302) 691-9055
(302) 444-8440
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
DAPT002107
PA
225100000X
Physical Therapist
Primary
J1-0002854
DE
225100000X
Physical Therapist
PT-006145L
PA
Other
Enumeration date
06/09/2017
Last updated
07/21/2022
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