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Individual

KAITLYN ALEXANDRA GRAYBILL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, VATL

Contact information

Practice address
11204 BRADDOCK RD, FAIRFAX, VA 22030-5405
(703) 273-8787
Mailing address
11204 BRADDOCK RD, FAIRFAX, VA 22030-5405
(703) 273-8787

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002459
VA

Other

Enumeration date
07/08/2016
Last updated
03/17/2018
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