Individual
MELISSA WILGUS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC, CSCS
Contact information
Practice address
479 PARSONS AVE, COLUMBUS, OH 43215-5577
(614) 722-5577
(614) 722-5581
Mailing address
4162 BERRYFIELD DR, GAHANNA, OH 43230-5102
(614) 428-8303
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 1026
OH
Other
Enumeration date
02/15/2006
Last updated
07/08/2007
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