Individual
JUSTIN DOUGLAS PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
6130 39TH CT E, BRADENTON, FL 34203-7002
(941) 544-8089
Mailing address
6130 39TH CT E, BRADENTON, FL 34203-7002
(941) 544-8089
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL1083
FL
Other
Enumeration date
05/10/2018
Last updated
05/10/2018
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