Individual
ALICEA EMILY TAYLOR-MEZA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
200 ATHLETIC CENTER, STILLWATER, OK 74078-4635
(915) 246-4150
Mailing address
3602 N WASHINGTON ST, APT F29, STILLWATER, OK 74075
(915) 246-4150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/10/2016
Last updated
09/19/2019
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