Individual
MRS. COURTNEY ALLEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1642 OSPREY LN, LUTZ, FL 33549-4116
(813) 625-4363
Mailing address
1642 OSPREY LN, LUTZ, FL 33549-4116
(813) 625-4363
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL4171
FL
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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