KEVIN WILDES, LPTA,CSCS
Physical Therapy Assistant
Active
Individual
NPI: 1912241357
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Yes | 1633 (GA) |
Frequently Asked Questions
NPI 1912241357 is the National Provider Identifier for KEVIN WILDES, LPTA,CSCS, a Physical Therapy Assistant provider located in Canton, GA. This NPI was enumerated on November 26, 2012.
KEVIN WILDES, LPTA,CSCS practices at 133 ROSEBURY DR, Canton, GA 30115.
Quick Facts
- NPI
- 1912241357
- Type
- Individual
- Enumerated
- Nov 26, 2012
- Last Updated
- Nov 26, 2012
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