Type 2 organization · NPI 1740406123
WYLDE PHYSICAL THERAPY, LLC
2251X0800X · WATERMAN, IL
Why this profile is appearing now
Observed change signals
No current public change signal is attached to this profile.
Reported classification
Taxonomies
| Code | Description | Source flag |
|---|---|---|
| 2251X0800X | 2251X0800X | Primary |
| 208100000X | 208100000X | Additional |
| 261QP2000X | 261QP2000X | Additional |
Taxonomy reporting does not establish licensure, board certification, expertise, or quality.
Longitudinal record
Observed change timeline
- 0 recorded field change s