Individual
MR. CHRISTOPHER TREVLYN NATHANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2841 HARTLAND RD, SUITE 401, FALLS CHURCH, VA 22043-3500
(703) 641-5800
Mailing address
8381 SCOTLAND LOOP, MANASSAS, VA 20109
(703) 209-4847
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001291
VA
Other
Enumeration date
08/12/2010
Last updated
07/27/2017
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