Dr Abigail Wild, PT, DPT | |
14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 | |
(855) 324-7843 | |
Not Available |
Full Name | Dr Abigail Wild |
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Gender | Female |
Speciality | Physical Therapist |
Location | 14101 Fairview Dr Ste 300, Burnsville, Minnesota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1639855075 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 13171 (Minnesota) | Primary |
Provider Name | Fairview Express Care |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1053952606 PECOS PAC ID: 3375645179 Enrollment ID: O20081028000548 |
Provider Name | Healtheast Outpatient Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1225382526 PECOS PAC ID: 0941447304 Enrollment ID: O20130503000040 |
Mailing Address | Practice Location Address |
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Dr Abigail Wild, PT, DPT 2635 4th St Se Apt 1110, Minneapolis, MN 55414-3869 Ph: (434) 249-8823 | Dr Abigail Wild, PT, DPT 14101 Fairview Dr Ste 300, Burnsville, MN 55337-2537 Ph: (855) 324-7843 |
Jean Jentz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 13955 W Preserve Blvd, Burnsville, MN 55337 Phone: 952-890-0804 | |
Amy Martinez, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14000 Fairview Dr, Burnsville, MN 55337 Phone: 952-993-8521 Fax: 952-993-8780 | |
Ms. Debra Jean Weise, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 675 E Nicollet Blvd, #135, Burnsville, MN 55337 Phone: 952-892-2650 | |
Stephen Florante Austria, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14101 Fairview Dr Ste 300, Burnsville, MN 55337 Phone: 952-892-2650 | |
Kyle Zenk, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 14000 Nicollet Ave Ste 110, Burnsville, MN 55337 Phone: 952-892-6777 Fax: 952-892-0792 | |
Joshua Olson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 W 140th St Unit 201, Burnsville, MN 55337 Phone: 952-808-3000 | |
David J Filzen, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 14000 Nicollet Ave, Suite 200, Burnsville, MN 55337 Phone: 952-892-6777 Fax: 952-892-0792 |