Individual
ASHLEY CAROLINE OPPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 RED TIDE RD, MOUNT PLEASANT, SC 29466-9402
(843) 539-6125
Mailing address
1450 RED TIDE RD, MOUNT PLEASANT, SC 29466-9402
(843) 539-6125
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/20/2021
Last updated
04/30/2021
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