Individual
MISS MELISSA SUSAN THUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1860 TOWN CENTER DR, STE 300, RESTON, VA 20190-5896
(703) 787-6500
Mailing address
9214 GRACELAND PL, FAIRFAX, VA 22031-1913
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000919
MI
Other
Enumeration date
11/28/2012
Last updated
12/11/2012
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