Individual
MR. WILLIAM ROY PRATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
221 COLLEGE LN, SALEM, VA 24153-3747
(540) 819-8963
Mailing address
1518 MUSE DR, VINTON, VA 24179-2938
(540) 819-8963
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000196
VA
Other
Enumeration date
03/15/2010
Last updated
03/15/2010
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