Individual
MRS. MELISSA A CASEBOLT
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
10824 BROWN TROUT CIR, ORLANDO, FL 32825-4863
(863) 604-4401
Mailing address
10824 BROWN TROUT CIRCLE, ORLANDO, FL 32825
(863) 604-4401
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1727
FL
Other
Enumeration date
05/04/2006
Last updated
07/08/2007
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