Individual
SAMANTHA HACHERL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(703) 993-1000
Mailing address
9824 UPPER MILL LOOP, BRISTOW, VA 20136-2410
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1111
N/A
—
Enumeration date
05/20/2016
Last updated
03/01/2018
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