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Individual

WAI YING VIVIEN IP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
A.T.C

Contact information

Practice address
1000 LIPSCOMB ST STE 110, FORT WORTH, TX 76104-3181
(817) 348-8600
Mailing address
801 W GREEK ROW #115 BOX 19260, ARLINGTON, TX 76019-0001
(817) 272-3410

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6522
TX

Other

Enumeration date
08/18/2016
Last updated
03/29/2019
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