Individual
EMILY TONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3650 JOSEPH SIEWICK DR STE 400, FAIRFAX, VA 22033-1715
(703) 391-2020
Mailing address
4443 FAIR STONE DR APT 304, FAIRFAX, VA 22033-5135
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002552
VA
Other
Enumeration date
04/13/2018
Last updated
04/13/2018
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