Individual
DEREK ROSS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
45511 TRAIL RUN TER, STERLING, VA 20164-5233
(703) 867-4335
Mailing address
45511 TRAIL RUN TER, STERLING, VA 20164-5233
(703) 867-4335
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000063
VA
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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