Individual
MARY GREEN O'BERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515-0002
(434) 582-2744
Mailing address
1971 UNIVERSITY BLVD, LYNCHBURG, VA 24515-0002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002041
VA
Other
Enumeration date
08/02/2016
Last updated
08/02/2016
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