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Individual

MRS. AMANDA CARTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MS, ATC, VATL

Contact information

Practice address
6300 INDEPENDENCE AVE, BEALETON, VA 22712-6843
(540) 422-7360
Mailing address
6300 INDEPENDENCE AVE, BEALETON, VA 22712-6843

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000004231
VA

Other

Enumeration date
08/26/2016
Last updated
08/26/2016
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