Individual
MEGAN L SANTOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
415 DRY MILL RD SW, LEESBURG, VA 20175-3409
(571) 252-2010
Mailing address
415 DRY MILL RD SW, LEESBURG, VA 20175-3409
(571) 252-2010
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001540
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0126001540
COMMONWEALTH OF VIRGINIA BOARD OF MEDICINE LICENSE
VA
01
—
060802096
NATA BOC
—
Enumeration date
12/18/2019
Last updated
12/18/2019
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