Individual
AMANDA KATHRYN COVINGTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
105 STONEMILL DR APT H, LYNCHBURG, VA 24502-2049
(601) 896-5185
Mailing address
105H STONEMILL DR, LYNCHBURG, VA 24502-2049
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002807
VA
2255A2300X
Athletic Trainer
1956
AL
Other
Enumeration date
04/26/2017
Last updated
03/17/2018
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