Individual
MR. CHUCK WHEDON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
201 MULLICA HILL RD, ROWAN UNIVERSITY ATHLETIC TRAINING, GLASSBORO, NJ 08028-1700
(856) 863-3637
(856) 863-3704
Mailing address
201 MULLICA HILL RD, ROWAN UNIVERSITY ATHLETIC TRAINING, GLASSBORO, NJ 08028-1700
(856) 863-3637
(856) 863-3704
Taxonomy
Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary
25MT00029700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MT00029700
ATHLETIC TRAINER
NJ
Enumeration date
08/18/2005
Last updated
07/08/2007
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