Individual
MS. DAWN THERESA SELVIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., A.T.C., L.A.T.
Contact information
Practice address
1247 NE 167TH ST, ATTENTION: DAWN SELVIDGE (ATHLETIC TRAINER), MIAMI, FL 33162-2723
(786) 525-0362
(305) 949-0491
Mailing address
1247 NE 167TH ST, ATTENTION: DAWN SELVIDGE (ATHLETIC TRAINER), MIAMI, FL 33162-2723
(786) 525-0362
(305) 949-0491
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2512
FL
Other
Enumeration date
12/09/2009
Last updated
12/09/2009
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