Individual
SAGE ALEXANDRA WALLACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
5941 ROCKFISH GAP TPKE, CROZET, VA 22932-3405
(434) 823-8700
Mailing address
1384 STONE CREEK LN APT 206, CHARLOTTESVILLE, VA 22902-7165
(919) 452-9604
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/23/2023
Last updated
02/01/2024
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