Individual
JUSTIN WILDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
1711 SW PLAZA PKWY, ANKENY, IA 50023-7325
(515) 417-0074
(515) 224-5140
Mailing address
1711 SW PLAZA PKWY, ANKENY, IA 50023-7013
(515) 964-2322
(515) 224-5140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
107534
IA
Other
Enumeration date
06/17/2021
Last updated
10/18/2024
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