Individual
TRACEY OPOKU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(703) 993-3277
Mailing address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(703) 993-3277
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/25/2015
Last updated
07/21/2022
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