Individual
JORDAN D WISSINGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS, CNS
Contact information
Practice address
404 FLORENCE AVE, HAMBURG, PA 19526-8318
(717) 823-7807
Mailing address
404 FLORENCE AVE, HAMBURG, PA 19526-8318
(717) 823-7807
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT007303
PA
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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