Individual
VICTORIA FAUNTROY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4400 UNIVERSITY DR, FAIRFAX, VA 22030
(703) 993-1000
Mailing address
14030 BETSY ROSS LN, CENTREVILLE, VA 20121-3511
(703) 362-7962
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003002
VA
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
05/20/2016
Last updated
06/13/2018
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