Individual
COLLIN SORRELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
2265 KRAFT DR, BLACKSBURG, VA 24060-6360
(540) 231-4000
Mailing address
500 ROBEY ST APT V, RADFORD, VA 24141-3949
(540) 460-6865
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030006
VA
Other
Enumeration date
08/02/2017
Last updated
08/02/2017
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