Individual
THERASA E QUACKENBUSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1678 GLENHAVEN CIR, OCOEE, FL 34761-4028
(317) 727-9372
Mailing address
1678 GLENHAVEN CIR, OCOEE, FL 34761-4028
(317) 727-9372
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/08/2007
Last updated
07/15/2014
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