Individual
MISS AIMEE C DEWITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
B.S., LAT, ATC
Contact information
Practice address
121 N 20TH ST, OPELIKA, AL 36801-5449
(334) 749-8303
Mailing address
515 ARBOR RIDGE LN, TITUSVILLE, FL 32780-1904
(321) 704-5409
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1684
AL
Other
Enumeration date
01/13/2016
Last updated
01/13/2016
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