Individual
MICHELLE L WAREHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1313 OLENTANGY RIVER RD, COLUMBUS, OH 43212-3129
(614) 839-2140
(614) 839-2141
Mailing address
8564 MAJOR PL, GALLOWAY, OH 43119-8444
(614) 878-6838
(614) 839-2141
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-580
OH
Other
Enumeration date
05/01/2007
Last updated
07/08/2007
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