Individual
MR. DANIEL VINCENT KOEHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5 BRYANT ST, STAFFORD, VA 22556-6213
(571) 839-0274
Mailing address
5 BRYANT ST, STAFFORD, VA 22556-6213
(571) 839-0274
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/09/2014
Last updated
06/09/2014
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