Individual
MR. MICHAEL G KOTELNICKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1400 UNIVERSITY DRIVE, WINCHESTER, VA 22601
(703) 573-1175
Mailing address
100 ORCHID COURT, WINCHESTER, VA 22602
(703) 573-1175
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/19/2006
Last updated
09/12/2013
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