Individual
FARAH BOUIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4164 INVERRARY DR, BLDG 12 APT 402, LAUDERHILL, FL 33319-4577
(305) 458-7375
(786) 533-9978
Mailing address
4164 INVERRARY DR, BLDG 12 APT 402, LAUDERHILL, FL 33319-4577
(305) 458-7375
(786) 533-9978
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2573
FL
Other
Enumeration date
07/07/2014
Last updated
07/07/2014
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