Maureen Marie Corristan, LAT,CSCS,PES-NASM
Specialist/Technologist, Athletic Trainer in Sarasota, FL. Individual provider (NPI-1).
NPI number1023165297
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1023165297
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Maureen Marie Corristan
- Credential
- LAT,CSCS,PES-NASM
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jan 3, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL 573 | FL | Yes |
Practice location
2750 Bahia Vista StSuite 101
Sarasota, FL 34239-2600
Phone 941-330-0606 · Fax 941-330-0012
Mailing address
6457 Kahana WaySarasota, FL 34241-5526
Phone 941-320-6507
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