Individual
PAIGE BRIANN KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2900 SUTTON RD, VIENNA, VA 22181-6199
(703) 319-2833
Mailing address
2900 SUTTON RD, VIENNA, VA 22181-6109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003251
VA
246ZX2200X
Orthopedic Assistant
—
—
Other
Enumeration date
02/27/2020
Last updated
03/22/2020
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