Individual
MRS. HEATHER LYNNE VANOPDORP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
401 W KENNEDY BLVD, BOX I, TAMPA, FL 33606-1450
(813) 253-6264
(813) 253-6288
Mailing address
2111 ASHLEY LAKES DR, ODESSA, FL 33556-1740
(813) 391-7412
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1633
FL
Other
Enumeration date
02/14/2006
Last updated
07/08/2007
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