Individual
ABAIGEAL FIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SCAT, ATC
Contact information
Practice address
1300 WHEAT ST, COLUMBIA, SC 29201
(603) 785-2445
Mailing address
2840 ELM ST, MANCHESTER, NH 03104-1656
(603) 785-2445
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/09/2019
Last updated
07/09/2021
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