Individual
THOMAS DEWEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
472 POLARIS ST, VIRGINIA BEACH, VA 23461-1935
(757) 862-0081
Mailing address
2249 HISTORIC DECATUR RD UNIT 81, SAN DIEGO, CA 92106-6102
(757) 575-0064
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
010702088
VA
Other
Enumeration date
09/10/2015
Last updated
03/17/2021
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