Individual
AMANDA E JOHNSTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
25222 BRIARGATE TER, CHANTILLY, VA 20152-1802
(703) 577-5013
Mailing address
25222 BRIARGATE TER, CHANTILLY, VA 20152-1802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002044
VA
Other
Enumeration date
01/12/2019
Last updated
01/12/2019
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