Individual
AMY WIGGINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
180 MAIN ST, ANDOVER, MA 01810-4161
(978) 749-4455
Mailing address
180 MAIN ST, ANDOVER, MA 01810-4161
(978) 749-4455
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
324
MA
Other
Enumeration date
08/21/2019
Last updated
08/21/2019
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