Individual
BREENA MCCARTHY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
12500 S APOPKA VINELAND RD, ORLANDO, FL 32836-6723
(407) 827-8168
Mailing address
4725 NEW BROAD ST APT 108, ORLANDO, FL 32814-6428
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/19/2018
Last updated
08/01/2021
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