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Individual

CARLA M BETANCOURT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1400 MELBOURNE RD, CHARLOTTESVILLE, VA 22901-3148
(434) 566-8196
Mailing address
225 LAKE CLUB CT APT 204, CHARLOTTESVILLE, VA 22902-7285
(434) 566-8196

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/01/2023
Last updated
12/17/2025
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