Individual
JOEL CHISHOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
3036 S SEMORAN BLVD # M-6, ORLANDO, FL 32822-1608
(954) 249-6367
Mailing address
3036 S SEMORAN BLVD # M-6, ORLANDO, FL 32822-1608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/27/2010
Last updated
07/27/2010
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