Individual
ALEXANDRA WOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
701 CENTRAL AVE, WILMETTE, IL 60091-1949
(847) 217-9559
Mailing address
701 CENTRAL AVE, WILMETTE, IL 60091-1949
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002490
GA
Other
Enumeration date
10/05/2015
Last updated
10/05/2015
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