Individual
CORBIE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12500 S APOPKA VINELAND RD, ORLANDO, FL 32836-6723
(407) 827-8168
Mailing address
6952 SEA CORAL DR UNIT 340, ORLANDO, FL 32821-8048
(541) 868-7088
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/19/2022
Last updated
01/29/2023
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