Individual
MIKE SIBILIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1200 SALUDA CHASE WAY, WEST COLUMBIA, SC 29169-6057
(908) 625-4488
Mailing address
1200 SALUDA CHASE WAY, WEST COLUMBIA, SC 29169-6057
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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