Individual
PAIGE P AHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3915 GYPSUM LN, ORLANDO, FL 32826-5338
(712) 269-5826
Mailing address
638 VINE AVE, DUNEDIN, FL 34698-7819
(712) 269-5826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3794
FL
Other
Enumeration date
09/02/2015
Last updated
05/12/2016
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