Individual
KELLY WILSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4241 QUAIL HOLLOW CIR, CUYAHOGA FALLS, OH 44224-5124
(330) 618-9749
Mailing address
4241 QUAIL HOLLOW CIR, CUYAHOGA FALLS, OH 44224-5124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.003962
OH
Other
Enumeration date
06/19/2013
Last updated
06/19/2013
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