PROF. Tina Dean Wailgum
NPI #1225150360 in Collegeville, Pennsylvania
Provider Information
- NPI Number
- 1225150360
- Entity Type
- Individual
- Name
- PROF. Tina Dean Wailgum
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Apr 6, 2007
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 601 MAIN ST.
- City
- Collegeville
- State
- Pennsylvania
- ZIP Code
- 19426-1000
- Phone
- (610) 409-3000
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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