Individual
MR. ADAM THOMAS KJOSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
9405 ASTILBE LN, TOANO, VA 23168-9546
(321) 262-5840
Mailing address
9405 ASTILBE LN, TOANO, VA 23168-9546
(321) 262-5840
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003729
VA
Other
Enumeration date
04/11/2023
Last updated
04/11/2023
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