| Doctor Name: | KRISTA LYNN WILDBERGER |
| NPI Number: | 1932315843 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MPT |
| License Number: | 33317 |
| Business Practice Address: | 137 Hiram Ave Newbury Park, CA - 913203214 |
| Business Phone Number: | 8053583655 |
| Business Fax Number: | |
| Mailing Address: | 137 Hiram Ave, NEWBURY PARK |
| State: | CA |
| Postal Code: | 913203214 |
| Phone Number: | 8053583655 |
| Fax Number: | |
| NPI Enumeration Date: | 05/15/2007 |
| NPI Last Update Date: | 01/06/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225100000X |
| License Number: | 33317 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| 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 |