Provider Demographics
NPI:1821832973
Name:CAIN, ISABELLA OLIVIA
Entity type:Individual
Prefix:
First Name:ISABELLA
Middle Name:OLIVIA
Last Name:CAIN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1694 DADS RD
Mailing Address - Street 2:
Mailing Address - City:BAKER
Mailing Address - State:FL
Mailing Address - Zip Code:32531-9497
Mailing Address - Country:US
Mailing Address - Phone:850-603-7968
Mailing Address - Fax:
Practice Address - Street 1:1694 DADS RD
Practice Address - Street 2:
Practice Address - City:BAKER
Practice Address - State:FL
Practice Address - Zip Code:32531-9497
Practice Address - Country:US
Practice Address - Phone:850-603-7968
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-24
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer