Individual
TREVER ANTHONY WENDEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6438 BRONCO RD, RAVENNA, OH 44266-9174
(330) 322-5658
Mailing address
6438 BRONCO RD, RAVENNA, OH 44266-9174
(330) 322-5658
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
OH
Other
Enumeration date
06/10/2020
Last updated
06/10/2020
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