Individual
BRITNEY ABE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, ATC, CEIS
Contact information
Practice address
4800 SISK RD, MODESTO, CA 95356-8730
(209) 300-4472
Mailing address
6627 DI LUSSO DR, ELK GROVE, CA 95758-5832
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDERS
—
Enumeration date
11/13/2017
Last updated
11/13/2017
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