Individual
AUDREY E VICTOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A., ATC, LAT
Contact information
Practice address
525 A H EHRIG DR, BRENHAM, TX 77833-2428
(979) 277-3790
Mailing address
2401 STONE HOLLOW DR APT 510, BRENHAM, TX 77833-6093
(979) 551-1919
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5844
TX
Other
Enumeration date
11/06/2014
Last updated
11/06/2014
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