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Individual

KERRI HOUCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
4691 S UNIVERSITY DR, DAVIE, FL 33328-3817
(954) 434-7246
Mailing address
290 NE 40TH ST, APT 20, OAKLAND PARK, FL 33334-1373
(561) 250-2410

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2829
FL

Other

Enumeration date
05/03/2017
Last updated
05/03/2017
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