Individual
DUSTIN CLYDE TINO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, CSCS
Contact information
Practice address
5765 TRAILWINDS DR, UNIT 126, FORT MYERS, FL 33907-7360
(507) 236-6728
Mailing address
5765 TRAILWINDS DR, UNIT 126, FORT MYERS, FL 33907-7360
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2363
FL
Other
Enumeration date
03/18/2008
Last updated
03/18/2008
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