Charlene Wichman
NPI #1245636463 in South Ogden, Utah
Provider Information
- NPI Number
- 1245636463
- Entity Type
- Individual
- Name
- Charlene Wichman
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Enumeration Date
- Nov 16, 2014
- Last Updated
- Nov 16, 2014
Practice Location
- Address
- 6045 S RIDGELINE DR
- Address 2
- APT. K201
- City
- South Ogden
- State
- Utah
- ZIP Code
- 84405-6978
- Phone
- (330) 671-1242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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