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Individual

TARA NICOLE REID

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.ED, ATC, LAT

Contact information

Practice address
2560 WOODGATE BLVD APT 201, ORLANDO, FL 32822-5877
(586) 531-8949
Mailing address
2560 WOODGATE BLVD APT 201, ORLANDO, FL 32822-5877
(586) 531-8949

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 3433
FL

Other

Enumeration date
11/30/2012
Last updated
11/30/2012
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