Individual
MS. JULIE MARIE STANEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC/LAT
Contact information
Practice address
2699 LEE RD, #100, WINTER PARK, FL 32789-1753
(407) 897-1363
(407) 897-1384
Mailing address
2746 CHADDSFORD CIR, APARTMENT 200, OVIEDO, FL 32765-7259
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2729
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
FL
Enumeration date
03/12/2010
Last updated
03/12/2010
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