Individual
MARCUS OWENS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
520 EVERGREEN MILL RD SE, LEESBURG, VA 20175-8726
(571) 252-2800
Mailing address
2229 DOUBLE EAGLE CT, RESTON, VA 20191-2401
(571) 224-6048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001824
VA
Other
Enumeration date
09/26/2018
Last updated
09/26/2018
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