Individual
TAYLOR WONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6453 PREAKNESS CT, INDIANAPOLIS, IN 46259-7651
(317) 544-8063
Mailing address
6453 PREAKNESS CT, INDIANAPOLIS, IN 46259-7651
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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