Individual
JUSTIN WALTER SELIGMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
14171 TURNER DR, SMITHFIELD, VA 23430-6675
(540) 454-8124
Mailing address
1040 SPOTSWOOD AVE APT 206, NORFOLK, VA 23507-1200
(540) 454-8124
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001704
VA
Other
Enumeration date
10/06/2013
Last updated
10/06/2013
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