Individual
MRS. AMANDA ROSE ZATZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6507 WAYPOINT ST, FLOWERY BRANCH, GA 30542-7260
(850) 502-9139
Mailing address
6507 WAYPOINT ST, FLOWERY BRANCH, GA 30542-7260
(850) 502-9139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004200
GA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
03/02/2021
Last updated
09/02/2022
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