Wild, Jessica Lynne

Wild, Jessica Lynne is an sole proprietor health care provider with primary practice located at 1595 Bridge St , Dracut MA 01826-2696. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Wild, Jessica Lynne can be contacted via phone (978) 735-4479.

Contact Information

Primary practice address
1595 Bridge St Dracut MA 01826-2696
Phone: (978) 735-4479
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT5764 Maine
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 4717 New Hampshire
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 25987 Massachusetts

Profile Details

NPI number 1992310098
LBN Legal business name Wild, Jessica Lynne
Credentials PT, DPT
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 15th, 2020
Last updated Jan 30th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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