Individual
JOEL THOMAS DECKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
8270 WILLOW OAKS CORPORATE DR STE 700, FAIRFAX, VA 22031-4529
(703) 277-2663
Mailing address
610 SOMERSET PARK DR SE APT 201, LEESBURG, VA 20175-5696
(765) 993-8392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000018946
IL
Other
Enumeration date
08/24/2023
Last updated
08/24/2023
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