Gina Wiesbrock, ATC

NPI #1033241807 in Peru, Illinois

Provider Information

NPI Number
1033241807
Entity Type
Individual
Name
Gina Wiesbrock, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Mar 9, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
1627 4TH ST
City
Peru
ZIP Code
61354-3507
Phone
(815) 228-7939

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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