Individual
MIRANNDA NELITA WOTRING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
120 DUG HILL RD, MORGANTOWN, WV 26508-6360
(304) 290-0931
Mailing address
120 DUG HILL RD, MORGANTOWN, WV 26508-6360
(304) 290-0931
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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