Audrey Wostal

NPI #1083083521 in West Kingston, Rhode Island

Provider Information

NPI Number: 1083083521
Entity Type: Individual
Name: Audrey Wostal
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Sep 15, 2015
Last Updated: Sep 15, 2015

Practice Location

Address: 373 HILLSDALE RD
City: West Kingston
State: Rhode Island
ZIP Code: 02892-1007
Phone: (401) 932-7787

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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