MS. Stephanie Marie Pruitt, ATC, LAT

NPI #1255534210 in Deland, Florida

Provider Information

NPI Number
1255534210
Entity Type
Individual
Name
MS. Stephanie Marie Pruitt, ATC, LAT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Jun 7, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
421 WOODLAND BLVD
Address 2
UNIT 8317
City
Deland
State
Florida
ZIP Code
32723-0001
Phone
(386) 822-7158

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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