Individual
KATELYN MANIACI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1860 TOWN CENTER DR STE 300, TOWN CENTER OTHOPAEDIC ASSOCIATES, RESTON, VA 20190-5900
(703) 483-4671
Mailing address
4717 LAFITTE CT, ALEXANDRIA, VA 22312-1612
(810) 599-4101
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002150
VA
Other
Enumeration date
07/31/2014
Last updated
07/31/2014
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