KAITLYN MACKENZIE BLACKBURN PTA
Individual Provider (NPI-1)
Active
Physical Medicine & Rehabilitation, Sports Medicine
Provider Information
- NPI Number
1285529875- Provider Type
- Individual Provider (NPI-1)
- Credentials
- PTA
- Status
- Active
Contact & Location
- Address
- 2519 S ORANGE AVE, ORLANDO, FL, 328064545
- Phone
- (407) 648-1697
Specialties & Taxonomies
Physical Medicine & Rehabilitation, Sports Medicine
Primary License: FL #ptat34078
All Addresses
MAILING
2519 S ORANGE AVE
ORLANDO, FL, 328064545