Individual
MARLEIGH HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
700 BENNETT ST, HERNDON, VA 20170-3199
(703) 810-2200
Mailing address
8115 GATEHOUSE RD, FALLS CHURCH, VA 22042-1203
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003178
VA
Other
Enumeration date
12/15/2022
Last updated
12/15/2022
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