Tara Vandenbosch, MS, ATC, CSCS, LAT
NPI #1174991210 in Miami Shores, Florida
Provider Information
- NPI Number
- 1174991210
- Entity Type
- Individual
- Name
- Tara Vandenbosch, MS, ATC, CSCS, LAT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ATC, CSCS, LAT
- Enumeration Date
- Sep 7, 2015
- Last Updated
- Sep 7, 2015
Practice Location
- Address
- 11300 NE 2ND AVE
- City
- Miami Shores
- State
- Florida
- ZIP Code
- 33161-6628
- Phone
- (308) 899-3572
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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