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Mr. Jack Anthony Wilder, PT
Orthopedic Physical Therapist in Olympia, Washington
NPI 1326269739

Jack Anthony Wilder is a Orthopedic Physical Therapist based in Olympia, WA and is specialized in Orthopedic. Jack Anthony Wilder practices in Olympia, WA and has the professional credentials of PT. The NPI Number for Jack Anthony Wilder is 1326269739 and holds a License No. PT00009619 (Washington).

The current practice location address for Jack Anthony Wilder is 405 Black Hills Ln Sw, Olympia, WA and can be reached out via phone at 360-956-2562 and via fax at 360-956-1894.

Location: 405 Black Hills Ln Sw, Olympia, WA, 98501-9697
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1326269739
Provider Name
Jack Anthony Wilder
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
405 Black Hills Ln Sw, Olympia, WA, 98501-9697
Phone Number
360-956-2562
Fax Number
360-956-1894
Provider Enumeration Date
05/01/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
405 Black Hills Ln Sw
City
Olympia
State
Washington
Zip
98502-8661
Phone Number
360-956-2562
Fax Number
360-956-1894
person
Provider Business Mailing Address Details
Address
405 Black Hills Ln Sw
City
Olympia
State
Washington
Zip
98502-8661
Phone Number
360-956-2562
Fax Number
360-956-1894
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Physical Therapist
Speciality
Orthopedic
Taxonomy
2251X0800X
License No.
PT00009619 (Washington)
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
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