MR. JACK WILDER, PT

Physical Therapist - Orthopedic

Active Individual
NPI: 1326269739

Practice Address

405 BLACK HILLS LN SW
SUITE G
Olympia, WA 98502

Phone: (360) 956-2562

Specialties

Specialty Code Primary License
Physical Therapist - Orthopedic 2251X0800X Yes PT00009619 (WA)

Frequently Asked Questions

NPI 1326269739 is the National Provider Identifier for MR. JACK WILDER, PT, a Physical Therapist - Orthopedic provider located in Olympia, WA. This NPI was enumerated on May 1, 2007.
MR. JACK WILDER, PT practices at 405 BLACK HILLS LN SW, SUITE G, Olympia, WA 98502.

Quick Facts

NPI
1326269739
Type
Individual
Enumerated
May 1, 2007
Last Updated
Jul 8, 2007

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