Individual
CAITLYN JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 22ND ST NW, WASHINGTON, DC 20052-0055
(202) 424-6743
Mailing address
2700 DORR AVE, APT 228, FAIRFAX, VA 22031-4936
(703) 909-4020
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002007
VA
Other
Enumeration date
10/09/2015
Last updated
05/01/2017
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