Individual
MICHAELA BROTHERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2602 CABIN CT APT 21-202A, LUTZ, FL 33559-7814
(757) 771-1704
Mailing address
2602 CABIN CT APT 21-202A, LUTZ, FL 33559-7814
(757) 771-1704
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/21/2024
Last updated
09/21/2024
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