Colin Noboru Mui Wong, ATC Valid NPI

Individual provider · Athletic Trainer · Skokie, IL

NPI

1427765601

Type

Individual (Type 1)

Primary specialty

Athletic Trainer (Specialist/Technologist)

Specialty group

Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy code

2255A2300X

License number

096005545 (IL)

Sex

Male

Sole proprietor

No

Enumerated

2022-10-28

Last updated

2022-10-28