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Individual

AMY JO GATENS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, ATC, LAT

Contact information

Practice address
3301 COLLEGE AVE, DEPARTMENT OF ATHLETICS, DAVIE, FL 33314-7721
(954) 262-8256
(954) 262-3740
Mailing address
3301 COLLEGE AVE, DEPARTMENT OF ATHLETICS, DAVIE, FL 33314-7721
(954) 262-8256
(954) 262-3740

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1864
FL

Other

Enumeration date
03/02/2010
Last updated
07/09/2014
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