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Individual

MRS. AMY FRALEY HAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MA, SCAT, ATC

Contact information

Practice address
1300 WHEAT ST, BLATT PHYSICAL EDUCATION CENTER, 213, COLUMBIA, SC 29201
(864) 590-5257
Mailing address
1300 WHEAT ST, BLATT PHYSICAL EDUCATION CENTER, 213, COLUMBIA, SC 29201
(864) 590-5257

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1260
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1260
STATE CERTIFIED ATHLETIC TRAINER
SC
01
1638
NORTH CAROLINA BOARD OF ATHLETIC TRAINER EXAMINERS
NC
01
2000001001
BOARD OF CERTIFICATION, INC.
Enumeration date
08/23/2011
Last updated
10/27/2016
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