Individual
REBECCA SOPHIA GUILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
2901 BUSCH LAKE BLVD, TAMPA, FL 33614-1860
(813) 936-7979
(813) 936-1600
Mailing address
2901 BUSCH LAKE BLVD, TAMPA, FL 33614-1860
(813) 936-7979
(813) 936-1600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2855
FL
Other
Enumeration date
10/12/2016
Last updated
10/12/2016
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