Individual
ALLISON ROSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
1200 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32114-2817
(386) 506-3000
Mailing address
12012 HIDDEN NEST CT, MIDLOTHIAN, VA 23112-6870
(804) 432-8713
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4383
FL
Other
Enumeration date
01/06/2016
Last updated
01/06/2016
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