Individual
ALEXIS MYERS OSMENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2007 HUBBARD CT, VILLA RICA, GA 30180-5842
(636) 579-6810
Mailing address
2007 HUBBARD CT, VILLA RICA, GA 30180-5842
(636) 579-6810
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 002253
GA
Other
Enumeration date
04/20/2015
Last updated
04/20/2015
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