Individual
KRISTYN WHARTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9200 BURKE LAKE RD, BURKE, VA 22015-1682
(703) 426-1176
Mailing address
9200 BURKE LAKE RD, BURKE, VA 22015-1682
(703) 426-1176
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001888
VA
Other
Enumeration date
05/11/2021
Last updated
05/11/2021
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