Individual
MARY E VANDER HEIDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
4000 CENTRAL FLORIDA BLVD, UCF SPORTS MEDICINE, ORLANDO, FL 32816-3555
(407) 823-0963
(407) 823-6744
Mailing address
PO BOX 163555, ORLANDO, FL 32816-3555
(407) 823-0963
(407) 823-6744
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1371
FL
Other
Enumeration date
03/16/2010
Last updated
01/20/2012
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