DYLAN WIEDEMAN, ATC,LAT
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1699182584
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | AL 3846 (FL) |
Frequently Asked Questions
NPI 1699182584 is the National Provider Identifier for DYLAN WIEDEMAN, ATC,LAT, a Specialist/Technologist - Athletic Trainer provider located in Saint Augustine, FL. This NPI was enumerated on July 13, 2014.
DYLAN WIEDEMAN, ATC,LAT practices at 2024 E CLOVELLY LN, Saint Augustine, FL 32092.
Quick Facts
- NPI
- 1699182584
- Type
- Individual
- Enumerated
- Jul 13, 2014
- Last Updated
- Jul 13, 2014
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