Individual
ALICIA R STELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
11000 UNIVERSITY PKWY, PENSACOLA, FL 32514-5732
(850) 474-2492
Mailing address
32207 CAMPUS DR, PENSACOLA, FL 32514-1017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/24/2020
Last updated
03/24/2020
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