Individual
THERESA ZABLOCKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS , ATC , EMT
Contact information
Practice address
322 SHIRLEY AVE, NORFOLK, VA 23517-2263
(757) 628-3344
Mailing address
322 SHIRLEY AVE, NORFOLK, VA 23517-2263
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000011
VA
Other
Enumeration date
12/17/2012
Last updated
12/17/2012
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