Individual
AMY NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8403 MESA DR, AUSTIN, TX 78759-8117
(402) 450-9286
Mailing address
9009 GREAT HILLS TRL, APT 833, AUSTIN, TX 78759-7187
(402) 450-9286
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT5991A
TX
Other
Enumeration date
07/18/2016
Last updated
07/18/2016
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