MRS. Bambi Defelice, ATC, LAT
NPI #1699048793 in Gulf Breeze, Florida
Provider Information
- NPI Number
- 1699048793
- Entity Type
- Individual
- Name
- MRS. Bambi Defelice, ATC, LAT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC, LAT
- Enumeration Date
- Feb 20, 2012
- Last Updated
- Feb 20, 2012
Practice Location
- Address
- 1040 GULF BREEZE PKWY
- City
- Gulf Breeze
- State
- Florida
- ZIP Code
- 32561-7809
- Phone
- (850) 934-2180
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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