Individual
KAITLIN DEWILDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4435 KNICKEL DR, HILLIARD, OH 43026-3813
(614) 315-2504
Mailing address
4435 KNICKEL DR, HILLIARD, OH 43026-3813
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/26/2016
Last updated
05/17/2019
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