MISS Shanick Tamara Augustin, ATC

NPI #1225255797 in Ocoee, Florida

Provider Information

NPI Number
1225255797
Entity Type
Individual
Name
MISS Shanick Tamara Augustin, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Apr 19, 2007
Last Updated
Dec 17, 2008

Practice Location

Address
8945 W COLONIAL DR
City
Ocoee
State
Florida
ZIP Code
34761-6918
Phone
(407) 822-7506

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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