Individual
MR. WILLIAM WARDLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
450 LANCASTER AVE, HAVERFORD, PA 19041-1337
(484) 417-2736
(610) 645-9784
Mailing address
109 SHOEN RD, EXTON, PA 19341-2133
(484) 354-3482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT001113A
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
PA
Enumeration date
05/16/2007
Last updated
07/08/2007
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