Individual
CLAUDIA CHISOLM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1231 LAKE BALDWIN LN UNIT 101, ORLANDO, FL 32814-6805
(912) 704-4994
Mailing address
1231 LAKE BALDWIN LN UNIT 101, ORLANDO, FL 32814-6805
(912) 704-4994
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/21/2022
Last updated
04/21/2022
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