Individual
TERRILL PAULSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5528 VENTNOR LN, SPRINGFIELD, VA 22151-1420
(202) 439-6430
Mailing address
5528 VENTNOR LN, SPRINGFIELD, VA 22151-1420
(202) 439-6430
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/26/2015
Last updated
01/26/2015
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