JUSTIN DOUGLAS PETERS

BRADENTON, FL
NPI1750871174
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL1083)
Enumeration Date2018-05-10
Last Update Date2018-05-10
Business Address
JUSTIN DOUGLAS PETERS LAT, ATC
6130 39TH CT E
BRADENTON, FL 34203-7002
Phone number: 941-544-8089
Mailing Address
JUSTIN DOUGLAS PETERS LAT, ATC
6130 39TH CT E
BRADENTON, FL 34203-7002
Phone number: 941-544-8089