Individual
BYRON CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, PT
Contact information
Practice address
1804 OAKLEY SEAVER DR, CLERMONT, FL 34711-1925
(352) 989-5838
(352) 404-8979
Mailing address
336 BROAD ST # 203, ROME, GA 30161-3006
(352) 989-5838
(352) 404-8979
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT37819
FL
2255A2300X
Athletic Trainer
A0001035
MD
Other
Enumeration date
12/21/2017
Last updated
09/16/2021
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