Individual
ANNA KATHERINA RISTOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
9300 GEORGE WASHINGTON AVE, YORKTOWN, VA 23692
(757) 753-7659
Mailing address
122 MEREDITH WAY, NEWPORT NEWS, VA 23606-1160
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001908
VA
Other
Enumeration date
11/16/2012
Last updated
11/16/2012
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