Individual
MISS HOLLY BROOKE RITTENBERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5078 PLEASANT POINTE DR, WARRENVILLE, SC 29851-3212
(603) 812-7282
Mailing address
5078 PLEASANT POINTE DR, WARRENVILLE, SC 29851-3212
(603) 812-7282
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
INDIVIDUAL
—
Enumeration date
11/13/2014
Last updated
11/13/2014
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