Individual
EMILY COOKSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
VATL, ATC, NREMT
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(703) 993-3279
Mailing address
4400 UNIVERSITY DR, FAIRFAX, VA 22030-4422
(703) 993-3279
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002384
VA
Other
Enumeration date
04/20/2016
Last updated
04/20/2016
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