MS. STEPHANIE PRUITT, ATC, LAT
Specialist/Technologist - Athletic Trainer
Active
Individual
NPI: 1255534210
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Specialist/Technologist - Athletic Trainer | 2255A2300X | Yes | AL 1818 (FL) |
Frequently Asked Questions
NPI 1255534210 is the National Provider Identifier for MS. STEPHANIE PRUITT, ATC, LAT, a Specialist/Technologist - Athletic Trainer provider located in Deland, FL. This NPI was enumerated on June 7, 2007.
MS. STEPHANIE PRUITT, ATC, LAT practices at 421 WOODLAND BLVD, UNIT 8317, Deland, FL 32723.
Quick Facts
- NPI
- 1255534210
- Type
- Individual
- Enumerated
- Jun 7, 2007
- Last Updated
- Jul 8, 2007
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