Individual
ALEXA PETRIELLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
429 N CHURCH ST, SPARTANBURG, SC 29303-3663
(864) 597-4483
Mailing address
429 N CHURCH ST, SPARTANBURG, SC 29303-3663
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/23/2019
Last updated
07/23/2019
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