Individual
REBEKAH BETH ERGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
3209 VIRGINIA AVE, FORT PIERCE, FL 34981-5596
(772) 462-7895
Mailing address
3209 VIRGINIA AVE, FORT PIERCE, FL 34981-5596
(772) 462-7895
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000028592
NATA BOC
—
01
—
AL5390
STATE OF FLORIDA ATHLETIC TRAINING LICENSE
FL
Enumeration date
08/28/2017
Last updated
01/13/2020
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