Individual
MATTHEW A TALLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
7336 GRANBY ST, NORFOLK, VA 23505-3492
(603) 285-5186
Mailing address
2607 COLONIAL AVE APT 119, NORFOLK, VA 23517-1338
(603) 285-5186
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
03/13/2022
Last updated
03/13/2022
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