Individual
RYAN WILDENHAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2807 N GLEBE RD, ARLINGTON, VA 22207-4224
(703) 284-1672
Mailing address
2807 N GLEBE RD, ARLINGTON, VA 22207-4224
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001731
VA
Other
Enumeration date
03/16/2017
Last updated
03/16/2017
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