Individual
MS. SAMANTHA ROSE CARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
10517 BRADDOCK RD STE D, FAIRFAX, VA 22032-2275
(571) 351-5618
Mailing address
3300 PLANTATION PKWY, FAIRFAX, VA 22030-1904
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003127
VA
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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