Individual
AMANDA MADELINE CRITTENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2777 JEFFERSON DAVIS HWY, SUITE 109, STAFFORD, VA 22554-8323
(540) 318-8615
Mailing address
4 TIMOTHY LN, STAFFORD, VA 22556-1241
(540) 907-9445
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001949
VA
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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