Individual
LOGAN REBEKAH SPIERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9053 FAYEMONT DR, MECHANICSVILLE, VA 23116-2833
(804) 357-9309
Mailing address
9053 FAYEMONT DR, MECHANICSVILLE, VA 23116-2833
(804) 357-9309
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002330
VA
Other
Enumeration date
07/20/2016
Last updated
07/20/2016
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