Individual
AMY O'MASTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DRIVE, SUITE 700, FAIRFAX, VA 22031
(709) 810-5228
(571) 407-5659
Mailing address
8270 WILLOW OAKS CORPORATE DRIVE, SUITE 700, FAIRFAX, VA 22031
(709) 810-5228
(571) 407-5659
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002732
VA
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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