Individual
DYAN LOUISE WELCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
400 CELEBRATION PL, CELEBRATION, FL 34747-4970
(407) 303-4204
Mailing address
12351 CRUXBURY DR, WINDERMERE, FL 34786-9458
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
479
FL
Other
Enumeration date
08/24/2017
Last updated
08/24/2017
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