Individual
DAVID WACKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
107 KNOLLWOOD DR, CHERRY HILL, NJ 08002-1544
(609) 314-3101
Mailing address
107 KNOLLWOOD DR, CHERRY HILL, NJ 08002-1544
(609) 314-3101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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