Individual
TREVOR THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
OLD DOMINION UNIVERSITY 5115 HAMPTON BLVD, NORFOLK, VA 23529-0001
(973) 525-5122
Mailing address
16 CRESCENT DR, LAKE HOPATCONG, NJ 07849-1337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002851
VA
Other
Enumeration date
02/19/2018
Last updated
02/19/2018
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