Individual
MS. ANDREA SUZANNE HARRISON
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
A.T.C./L
Contact information
Practice address
1768 PARK CENTER DR, STE. 200, ORLANDO, FL 32835-6200
(407) 352-1550
(407) 447-7582
Mailing address
900 THOMPSON CIR NW, WINTER HAVEN, FL 33881-2360
(954) 290-7491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1378
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AL1378
ATHLETIC TRAINING LICENSE
FL
Enumeration date
04/11/2006
Last updated
07/08/2007
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