Individual provider · NPI-1

Savannah Rose Dunckel, ATC

Specialist/Technologist, Athletic Trainer · Ocala, FL

NPI number1871965145
StatusActive
Last updated in NPPESDec 4, 2018

Details

NPI
1871965145
Entity type
Individual (NPI-1)
Name
Miss Savannah Rose Dunckel
Credential
ATC
Sex
Female
Sole proprietor
No
Enumeration date
Oct 27, 2015
Last updated
Dec 4, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer5039FLYes

Practice location

3773 S Pine Ave
Ocala, FL 34471-6608

Phone 352-369-6325

Mailing address

3773 S Pine Ave
Ocala, FL 34471-6608

Phone 352-369-6325

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