Individual
CARLY NICOLE ROUTMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1332 SOUTHERN DR, STATESBORO, GA 30460-1360
(561) 685-5353
Mailing address
804 E WINDWARD WAY APT 516, LANTANA, FL 33462-8032
(561) 685-5353
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/08/2020
Last updated
05/11/2021
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