Individual
MISS KATHLEEN H. FEUERBACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3100 EDGEWATER DR, ORLANDO, FL 32804-3722
(407) 835-4900
(407) 245-2758
Mailing address
111 E HARVARD ST, ORLANDO, FL 32804-5053
(772) 834-8605
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1879
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2255A2300X
ATHLETIC TRAINER
FL
Enumeration date
05/21/2007
Last updated
07/08/2007
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