Amber Louise Harrell, ATC
Specialist/Technologist, Athletic Trainer in Jacksonville, FL. Individual provider (NPI-1).
NPI number1669998720
StatusActive
Last updated in NPPESAug 20, 2017
Details
- NPI
- 1669998720
- Entity type
- Individual (NPI-1)
- Name
- Ms. Amber Louise Harrell
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 20, 2017
- Last updated
- Aug 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL5023 | FL | Yes |
Practice location
1700 Old Middleburg Rd NJacksonville, FL 32210-1232
Phone 904-693-7620
Mailing address
2194 Club Lake DrOrange Park, FL 32065-4600
Phone 904-537-2836
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