Individual
MS. SARA ELIZABETH EDWARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
7052 MECHANICSVILLE TPKE, MECHANICSVILLE, VA 23111-3629
(804) 723-2256
(804) 723-2202
Mailing address
105 SWANNEE DR, ASHLAND, VA 23005-2191
(804) 337-0969
(804) 723-2202
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001393
VA
Other
Enumeration date
01/11/2013
Last updated
01/11/2013
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