Individual
MR. MATTHEW RYAN HORTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, VATL
Contact information
Practice address
3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033-1715
(703) 391-2020
Mailing address
6555 ROCKLAND DR, CLIFTON, VA 20124-2417
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001048
VA
Other
Enumeration date
11/28/2012
Last updated
02/27/2024
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