Individual
PHIRIYAPHON SINTHAWACHIWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
4701 SW 72ND AVE, DAVIE, FL 33314-4115
(954) 415-4614
Mailing address
4701 SW 72ND AVE, DAVIE, FL 33314-4115
(954) 415-4614
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/11/2019
Last updated
05/08/2019
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