Individual
STEPHANIE MOONEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
1 AVENUE OF THE ARTS, RATCLIFFE HALL, NEWPORT NEWS, VA 23606-3072
(757) 594-8117
Mailing address
721 BLACKWATER WAY, NEWPORT NEWS, VA 23606-1972
(443) 617-0150
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002475
VA
Other
Enumeration date
03/28/2017
Last updated
03/28/2017
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