Individual
DR. JESSICA LYNNE WILD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
25987
MA
225100000X
Physical Therapist
4717
NH
225100000X
Physical Therapist
PT5764
ME
Other
Enumeration date
09/15/2020
Last updated
05/21/2025
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