Gary Glynn Stiles JR., ATC, LAT

NPI #1871522367 in Oviedo, Florida

Provider Information

NPI Number
1871522367
Entity Type
Individual
Name
Gary Glynn Stiles JR., ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
ATC, LAT
Enumeration Date
Jun 30, 2006
Last Updated
May 6, 2015

Practice Location

Address
1890 W COUNTY ROAD 419
Address 2
SUITE 1000
City
Oviedo
State
Florida
ZIP Code
32765-4402
Phone
(407) 694-8354

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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