Individual
THANH YEN LY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2960 CHAIN BRIDGE RD STE 201, OAKTON, VA 22124-3040
(703) 242-6460
Mailing address
3304 NEVIUS ST, FALLS CHURCH, VA 22041-1712
(571) 224-6593
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/31/2018
Last updated
12/05/2020
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