Individual
REBECCA WOOTTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1561 MEDICAL DR, POTTSTOWN, PA 19464-3218
(610) 792-9292
Mailing address
325 OLD LINCOLN HWY, MALVERN, PA 19355-3025
(484) 459-0414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RTO000368
PA
Other
Enumeration date
12/30/2017
Last updated
12/30/2017
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