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ABIGAIL J BALL MAT, LAT, ATC

Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1689246258

Individual Registrant:
 ABIGAIL J BALL MAT, LAT, ATC
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4600 4TH ST N  SAINT PETERSBURG, FL 33703-3802 US
Tel: 727-527-5272  Fax: --

Contact information for business:
9551 90TH AVE  SEMINOLE, FL 33777-2329 US
Tel: 727-348-9574  Fax: --

Registration Information:
NPI: 1689246258
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
Athletic Trainer
FL6279

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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