Shayla Alyson Vangurp, ATC

NPI #1316426745 in Moriches, New York

Provider Information

NPI Number
1316426745
Entity Type
Individual
Name
Shayla Alyson Vangurp, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC
Enumeration Date
Aug 7, 2018
Last Updated
Aug 7, 2018

Practice Location

Address
630 MORICHES MIDDLE ISLAND RD
ZIP Code
11955-1506
Phone
(631) 874-5505

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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