Individual
JADE WANGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
282 FARMERS ROW, GROTON, MA 01450-1848
(978) 448-3363
Mailing address
77 THINGVALLA AVE, BELMONT, MA 02478-3668
(608) 220-0306
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3514
MA
2255A2300X
Athletic Trainer
AT002077
GA
Other
Enumeration date
05/21/2016
Last updated
01/16/2021
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