Individual
JOHNATHAN WALKINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 CAPITAL ST UNIT 104, LYNCHBURG, VA 24502-5168
(434) 258-6414
Mailing address
205 CAPITAL ST UNIT 104, LYNCHBURG, VA 24502-5168
(434) 258-6414
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/13/2021
Last updated
08/13/2021
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