Provider Demographics
NPI:1992926836
Name:TRIPP, PATRICIA MCGINN (PHD, ATC, CSCS, LAT)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:MCGINN
Last Name:TRIPP
Suffix:
Gender:F
Credentials:PHD, ATC, CSCS, LAT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:UNIVERSITY OF FLORIDA DEPT APK
Mailing Address - Street 2:PO BOX 118205
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-8205
Mailing Address - Country:US
Mailing Address - Phone:352-392-0584
Mailing Address - Fax:352-392-5262
Practice Address - Street 1:UNIVERSITY OF FLORIDA DEPT APK
Practice Address - Street 2:FLG 160
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-8205
Practice Address - Country:US
Practice Address - Phone:352-392-0584
Practice Address - Fax:352-392-5262
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2009-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAL 20752255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer