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ABIGAIL J BALL MAT, LAT, ATC
Athletic Trainer >> Specialist/Technologist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1689246258
Individual Registrant: ABIGAIL J BALL MAT, LAT, ATC
Gender: F
Not Sole Proprietor
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: --
Tel: 727-527-5272 Fax: --
Contact information for business:
9551 90TH AVE SEMINOLE, FL 33777-2329 US
Tel: 727-348-9574 Fax: --
Tel: 727-348-9574 Fax: --
Registration Information:
NPI: 1689246258
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 2255A2300X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Specialist/Technologist Athletic Trainer | FL | 6279 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
