| NPI | 1164819660 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRENCE CUMMINGS Head Athletic Trainer 703-489-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126000115) |
| Enumeration Date | 2015-04-22 |
| Last Update Date | 2015-04-22 |