Dottie L Wiseman
Specialist/Technologist, Athletic Trainer in Roanoke, VA. Individual provider (NPI-1).
NPI number1962097014
StatusActive
Last updated in NPPESMar 1, 2021
Details
- NPI
- 1962097014
- Entity type
- Individual (NPI-1)
- Name
- Dottie L Wiseman
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Mar 1, 2021
- Certification date
- Mar 1, 2021
- Last updated
- Mar 1, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | Yes |
Practice location
2033 Timberview RdRoanoke, VA 24019-5535
Phone 540-562-3349
Mailing address
2033 Timberview RdRoanoke, VA 24019-5535
Phone 540-562-3349
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