Individual
MR. JOHN FITZGERALD BURRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
21300 REDSKIN PARK DR, ASHBURN, VA 20147-6100
(703) 726-7230
Mailing address
43144 HUNTSMAN SQ, BROADLANDS, VA 20148-5092
(703) 850-4438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000753
VA
Other
Enumeration date
02/28/2007
Last updated
07/08/2007
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