Individual
SELLENA MARGARITA BURGER-FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1000 POWELL MILL RD, SPARTANBURG, SC 29301-5899
(817) 374-3597
Mailing address
413 WATER VIEW CT, WEATHERFORD, TX 76085-9353
(817) 374-3597
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000051039
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/07/2019
Last updated
06/03/2022
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