Individual
ALEXIS BRIELLE AUSTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5035 OXFORD ST APT 21, LYNCHBURG, VA 24502-1646
(757) 952-4643
Mailing address
5035 OXFORD ST APT 21, LYNCHBURG, VA 24502-1646
(757) 952-4643
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/24/2018
Last updated
08/24/2018
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