Individual
CHARLES-JOHN WYNTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
182 DOTY ST, WALTHAM, MA 02452-7833
(781) 439-1265
Mailing address
182 DOTY ST, WALTHAM, MA 02452-7833
(781) 439-1265
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2822
MA
Other
Enumeration date
11/11/2016
Last updated
11/11/2016
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