Individual
TRACEY ANN DRISCOLL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1435 ROANOKE RD, DALEVILLE, VA 24083-2913
(540) 992-1261
(540) 992-8381
Mailing address
1435 ROANOKE RD, DALEVILLE, VA 24083-2913
(540) 992-1261
(540) 992-8381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000173
VA
Other
Enumeration date
12/31/2012
Last updated
12/31/2012
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