| NPI | 1215239330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA O LOYD Athletic Trainer 757-202-6013 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126000752) |
| Enumeration Date | 2010-11-22 |
| Last Update Date | 2010-11-22 |