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Individual

ASHLEY KRISTIANSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, LAT, ATC

Contact information

Practice address
3900 JOG RD, BOCA RATON, FL 33434-4455
(561) 210-2133
Mailing address
3900 JOG RD, BOCA RATON, FL 33434-4455
(561) 210-2133

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3583
FL

Other

Enumeration date
01/17/2017
Last updated
03/30/2020
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