Individual
MR. BRIAN ANDREW PETZ
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
13039 WORLDGATE DR, HERNDON, VA 20170-4374
(703) 742-8758
(703) 742-8952
Mailing address
43240 CARDSTON PL, LEESBURG, VA 20176-6459
(703) 777-8213
(703) 742-8952
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000718
VA
Other
Enumeration date
09/01/2005
Last updated
07/08/2007
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