Individual
ASIA MCCANTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
14715 BRISTOW RD, MANASSAS, VA 20112-3945
(703) 798-0139
Mailing address
43 CHESAPEAKE DR, STAFFORD, VA 22554-5456
(703) 798-0139
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/13/2022
Last updated
05/13/2022
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