Individual
MS. NORMA JEAN WINGATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED, ATC
Contact information
Practice address
500 W WILLOW GROVE AVE, PHILADELPHIA, PA 19118-4126
(215) 247-4700
Mailing address
6103 CHRISTIAN ST, PHILADELPHIA, PA 19143-2901
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002485A
PA
Other
Enumeration date
11/02/2011
Last updated
11/02/2011
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