Individual
THOMAS RYAN COUPART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
1701 LEE RD, APT O-463, WINTER PARK, FL 32789-2161
(912) 604-6730
Mailing address
1701 LEE RD, APT O-463, WINTER PARK, FL 32789-2161
(912) 604-6730
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL3934
FL
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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