Individual
AMBER SIMERLY MAGLIOCCA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMBT, CPT
Contact information
Practice address
410 NEW BRIDGE ST STE 7B, JACKSONVILLE, NC 28540-4759
(704) 668-7482
Mailing address
506 WILLIAMS ST, JACKSONVILLE, NC 28540-4908
(704) 668-7482
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NC
225700000X
Massage Therapist
Primary
1237
NC
Other
Enumeration date
09/25/2020
Last updated
09/25/2020
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