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Individual

BRITTANY FERGUSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, PES

Contact information

Practice address
101 GATEWAY CT APT 402, CHESAPEAKE, VA 23320-5077
(724) 518-6365
Mailing address
101 GATEWAY CT APT 402, CHESAPEAKE, VA 23320-5077
(724) 518-6365

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/23/2014
Last updated
09/23/2014
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