Individual
SARA WHITESIDE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
MS, ATC, LAT
Contact information
Practice address
201 SELMA RD, HORNET FIELD HOUSE, ORANGE, VA 22960-1821
(540) 661-4300
Mailing address
PO BOX 13, SOMERSET, VA 22972-0013
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000617
VA
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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