Doctor Name: | MR. STEVEN R WILDE |
NPI Number: | 1710923776 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | PT003818L |
Business Practice Address: | 518 Pelllis Rd Greensburg, PA - 156014599 |
Business Phone Number: | 7248321696 |
Business Fax Number: | 7248326351 |
Mailing Address: | 518 Pelllis Rd, GREENSBURG |
State: | PA |
Postal Code: | 156014599 |
Phone Number: | 7248321696 |
Fax Number: | 7248326351 |
NPI Enumeration Date: | 06/20/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT003818L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |