Individual
MR. SCOTT JOSEPH JOHNSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
ATHLETIC DEPARTMENT, OLD DOMINION UNIVERSITY, NORFOLK, VA 23529-0001
(757) 683-3383
(757) 683-5445
Mailing address
ATHLETIC DEPARTMENT, OLD DOMINION UNIVERSITY, NORFOLK, VA 23529-0001
(757) 683-3383
(757) 683-5445
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000012
VA
Other
Enumeration date
12/01/2011
Last updated
12/01/2011
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