Individual
MRS. KRISTIN ANJA KNACKSTEDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
613 SCARBOROUGH PASS RD, ORLANDO, FL 32835-8061
(321) 276-2385
Mailing address
613 SCARBOROUGH PASS RD, ORLANDO, FL 32835-8061
(321) 276-2385
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL # 2992
FL
Other
Enumeration date
03/16/2011
Last updated
03/16/2011
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