Individual
JENNIFER BRADSHAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
100 COLLEGE BLVD E, NICEVILLE, FL 32578-1347
(850) 729-5264
Mailing address
96 MARINA COVE DR, NICEVILLE, FL 32578-4426
(850) 582-4629
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2501
FL
Other
Enumeration date
08/23/2021
Last updated
08/23/2021
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