Individual
MRS. AMBERLE PHILLIPS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
308 DAMASCUS DR, SUMMERVILLE, SC 29483-9278
(630) 542-9001
Mailing address
308 DAMASCUS DR, SUMMERVILLE, SC 29483-9278
(630) 542-9001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/28/2016
Last updated
04/28/2016
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