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LINDSAY N GATEWOOD ATC

>> Organized Health Care Education/Training Program >> Student

Registrant NPI Number: 1356886295

Individual Registrant:
 LINDSAY N GATEWOOD ATC
Gender: F
Sole Proprietor

Location and contact information for practice:
817 MELTON RD  BAKER, FL 32531-5373 US
Tel: 850-826-0457  Fax: --

Contact information for business:
817 MELTON RD  BAKER, FL 32531-5373 US
Tel: 850-826-0457  Fax: --

Registration Information:
NPI: 1356886295
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N390200000XStudent
Organized Health Care Education/Training Program
Y2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Specialist/Technologist
FLAL4908

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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