Individual
JANAE WICKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 395-3900
(937) 395-3950
Mailing address
4403 FAR HILLS AVE, KETTERING, OH 45429-2405
(937) 395-3900
(937) 395-3950
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT005553
OH
Other
Enumeration date
11/02/2020
Last updated
11/02/2020
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