Individual
DANIEL WILLIAM GOTTHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, EMT-B, CSCS
Contact information
Practice address
4460 LONGHILL RD, WILLIAMSBURG, VA 23188-1535
(757) 565-4281
(757) 565-4268
Mailing address
5308 ROCKINGHAM DR, WILLIAMSBURG, VA 23188-8118
(757) 565-4281
(757) 565-4268
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000127
VA
Other
Enumeration date
04/07/2006
Last updated
07/08/2007
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