Individual
MRS. AMANDA G BAUGHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2201 S MORRISON AVE, COLLINSVILLE, IL 62234-1449
(618) 346-6320
Mailing address
2201 S MORRISON AVE, COLLINSVILLE, IL 62234-1449
(618) 346-6320
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/30/2006
Last updated
02/05/2008
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