Individual
THERESA DEAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3320 JERMANTOWN RD, FAIRFAX, VA 22030
(703) 584-2300
Mailing address
12237 FAIRFIELD HOUSE DR APT 307, FAIRFAX, VA 22033-3953
(571) 241-7218
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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