Individual
MR. ATSUSHI ADAM NOGUCHI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MBA, ATC, LAT
Contact information
Practice address
7701 CLEMENTINE WAY, ORLANDO, FL 32819-4611
(407) 497-8608
Mailing address
7701 CLEMENTINE WAY, ORLANDO, FL 32819-4611
(407) 497-8608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2280
FL
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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