Individual
STEPHANIE BAUTISTA GARCIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
10345 NATIONS FORD RD STE C, CHARLOTTE, NC 28273-5823
(704) 981-2843
Mailing address
PO BOX 7067, CHARLOTTE, NC 28241-7067
(704) 981-2843
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2425
NC
Other
Enumeration date
05/25/2014
Last updated
05/25/2014
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