Individual
AMY LYNN DORFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
150 BURNETTS WAY STE 100, SUFFOLK, VA 23434-8168
(757) 539-9333
Mailing address
1324 PETRELL DR, VIRGINIA BEACH, VA 23454-5673
(757) 201-1782
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000900
VA
Other
Enumeration date
02/22/2006
Last updated
07/08/2007
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