HOLLY D WICKENHAUSER

BLOOMINGTON, IL
NPI1659546422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IL  096.001891)
Enumeration Date2008-04-23
Last Update Date2017-01-04
Business Address
MS. HOLLY D WICKENHAUSER ATC
1111 TRINITY LN SUITE 111
BLOOMINGTON, IL 61704-8111
Phone number: 309-663-6461
Mailing Address
MS. HOLLY D WICKENHAUSER ATC
1111 TRINITY LN SUITE 111
BLOOMINGTON, IL 61704-8111
Phone number: 309-663-6461
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