Individual
MRS. BETHANY ANNE WISTHOFF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
402 RED FOX LN APT 2B, NEWARK, DE 19711-5916
(219) 380-9792
Mailing address
402 RED FOX LN APT 2B, NEWARK, DE 19711-5916
(219) 380-9792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/10/2018
Last updated
10/10/2018
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