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Individual

SCOTT R GRAVATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MS, VATL, ATC

Contact information

Practice address
12301 SPOTSWOOD FURNACE RD, FREDERICKSBURG, VA 22407-2208
(540) 548-4051
Mailing address
3900 BLACKBERRY LN, FREDERICKSBURG, VA 22407-4854
(540) 760-5358

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
06/26/2006
Last updated
07/08/2007
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