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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JOHN DAVID WILD JR., DPT

Active

MR. JOHN DAVID WILD JR., DPT is a Physical Therapy Assistant healthcare provider located in PONCHATOULA, Louisiana. NPI 1508245606 is currently active in the NPPES registry. Verify at CMS.

Physical Therapy Assistant · PONCHATOULA, LA

Registration Details

NPI Number
1508245606
Provider Type
Individual
Gender
Male
NPI Issued
May 21, 2015 (11.197686440639 yrs)
Last Updated
May 21, 2015
License
08568 (LA)

Practice Information

Address
510 W PINE ST
PONCHATOULA, LA, 704543738
Browse LA providers · Browse ZIP 70454
Phone
9856341966
Primary Specialty
Physical Therapy Assistant
225100000X

Other Physical Therapy Assistant Providers in PONCHATOULA, LA

Name Credential NPI
SCOTT HUNTER HIGGS P.T. 1922278050
MR. JOEL A SCHERR P.T. 1780812560
MRS. LISA ANN HOWES P.T. 1144533134
JENNIFER BAIAMONTE DPT 1871962928
MALLORY KRAFT 1417472416
LUCAS QUEBEDEAUX 1396259032
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.