Individual
MISS VICTORIA WALLIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/L,ACSM-CPT
Contact information
Practice address
2221 HAMPTON DR, APARTMENT 4, HIGHLAND, IN 46322-2460
(574) 329-2386
Mailing address
2221 HAMPTON DR, APARTMENT 4, HIGHLAND, IN 46322-2460
(574) 329-2386
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36002230A
IN
Other
Enumeration date
09/21/2014
Last updated
09/21/2014
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