Individual
BETH HAGLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
11230 WAPLES MILL RD # 120, FAIRFAX, VA 22030-6087
(703) 273-2400
Mailing address
1325 CROCKETT LN, SILVER SPRING, MD 20904-6656
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
0126001873
VA
2255A2300X
Athletic Trainer
Primary
A0000406
MD
Other
Enumeration date
03/05/2015
Last updated
03/05/2015
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