Individual
OLIVIA WISHMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 S WATER ST, PITTSBURGH, PA 15203-2349
(716) 432-7824
Mailing address
PO BOX 434, LAKE VIEW, NY 14085-0434
(716) 432-7824
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006471
PA
Other
Enumeration date
09/03/2014
Last updated
08/12/2016
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