LARISSA RAE CARROLL

ORLANDO, FL
NPI1841746419
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL  AL 4180)
Enumeration Date2016-09-01
Last Update Date2016-09-01
Business Address
-- LARISSA RAE CARROLL ATC, LAT
901 HIGHLAND AVE
ORLANDO, FL 32803-3233
Phone number: 407-206-1900
Mailing Address
-- LARISSA RAE CARROLL ATC, LAT
1837 OSMAN AVE
ORLANDO, FL 32806
Phone number: 941-266-7041
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