Individual
TIMOTHY HUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
601 CHILDRENS LN, NORFOLK, VA 23507-1910
(757) 609-5346
Mailing address
7437 MAJOR AVE, NORFOLK, VA 23505-3021
(757) 609-5346
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002832
VA
Other
Enumeration date
04/27/2016
Last updated
03/07/2023
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