Individual
MRS. ALEXIS M GAMBRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, ATC, LAT
Contact information
Practice address
8 RIVERVIEW AVE, PORTSMOUTH, VA 23704-1917
(352) 263-5413
Mailing address
8 RIVERVIEW AVE, PORTSMOUTH, VA 23704-1917
(352) 263-5413
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
2255A2300X
Athletic Trainer
0126002126
VA
2255A2300X
Athletic Trainer
AL3066
FL
Other
Enumeration date
10/18/2012
Last updated
11/19/2024
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