Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Debora Carol Wild, PT

Individual provider Physical Therapist · NPI 1235595372

MS. Debora Carol Wild, PT is a Physical Therapist in Lackawanna, New York. Licensed in New York. Registered with an NPI since 2016.

Licensed in
NY
In the registry since
2016
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

55 Melroy Ave
Lackawanna, NY 14218-1658
Phone: (716) 819-5036
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 62 009043 (NY)

Record details

NPI number1235595372
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJanuary 5, 2016
Last updated in NPPESJanuary 5, 2016

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