Individual
MRS. TY C. COLVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC/L
Contact information
Practice address
530 BRIDGE CREEK BLVD, OCOEE, FL 34761-4717
(321) 662-6512
Mailing address
530 BRIDGE CREEK BLVD, OCOEE, FL 34761-4717
(321) 662-6512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 2628
FL
Other
Enumeration date
03/24/2006
Last updated
05/11/2009
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