Individual
SARAH R EARLEYWINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
25 W CRYSTAL LAKE ST, #200, ORLANDO, FL 32806-4475
(407) 254-2503
Mailing address
9717 TIRAMASU TRL, ORLANDO, FL 32829-8126
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL2959
FL
Other
Enumeration date
04/13/2013
Last updated
04/13/2013
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