Individual
DENISHA S FERGUSSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
11200 SW 8TH ST, MIAMA, FL 33199
(305) 348-3494
Mailing address
12780 NW 11TH ST, MIAMI, FL 33182-1801
(917) 951-6780
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1953
FL
Other
Enumeration date
03/26/2007
Last updated
07/08/2007
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