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Individual

EMILY SHIELD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
8100 INNOVATION PARK DR STE 110, FAIRFAX, VA 22031-4870
(571) 472-6464
Mailing address
8100 INNOVATION PARK DR # 110, FAIRFAX, VA 22031-4870
(571) 472-6464

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003022
VA

Other

Enumeration date
10/14/2022
Last updated
05/13/2026
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