Individual
REBECCA CARSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4000 CENTRAL FLORIDA BLVD, ORLANDO, FL 32816-7801
(586) 441-1170
Mailing address
3693 OAKDALE CIR APT 201, OVIEDO, FL 32765-8097
(586) 441-1170
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5790
FL
Other
Enumeration date
09/19/2016
Last updated
11/23/2020
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