Karen Lynn Wild
Physical Therapist - Pediatrics
3488 Jeffco Blvd Ste 102
Arnold
, Missouri 63010-6015
Karen Lynn Wild
Physical Therapist - Pediatrics
3488 Jeffco Blvd Ste 102
Arnold
, Missouri 63010-6015
(636) 464-5438
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About
Features
Specialties
- Physical Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Karen Lynn Wild
- 3488 Jeffco Blvd Ste 102
- Arnold, MO
- Zip : 63010-6015
- Fax : (636) 464-5438
- Phone : (636) 464-5439
Second Address
- Karen Lynn Wild
- 3488 Jeffco Blvd Ste 102
- Arnold, MO
- Zip : 63010-6015
- Fax : (636) 464-5438
- Phone : (636) 464-5439
Reviews
FAQs
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What type of doctor is Karen Lynn Wild
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Is Karen Lynn Wild a sole practitioner?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 2251P0200X | Physical Therapist - Pediatrics | 070010907 | IL |
| Y | 2251P0200X | Physical Therapist - Pediatrics | 114477 | MO |
National Provider Identifier
| NPI | 1023155033 |
|---|---|
| Provider Name | Karen Lynn Wild |
| First Address | Arnold, MO 63010-6015 |
| Second Address | Arnold, MO 63010-6015 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/01/2007 |
| Last Update Date | 14/11/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 483877411 | (05) | MO |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.