Individual
MR. DALLAS WOOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED,,ATC, CSCS
Contact information
Practice address
1604 STOKES CT, VIRGINIA BEACH, VA 23455-4430
(757) 642-1025
Mailing address
1604 STOKES CT, VIRGINIA BEACH, VA 23455-4430
(757) 642-1025
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000266
VA
Other
Enumeration date
11/02/2012
Last updated
11/02/2012
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