Individual
ADAM SCOTT I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
8515 OLD MOUNT VERNON RD, ALEXANDRIA, VA 22309-2009
(703) 619-3211
Mailing address
2627 GLENGYLE DR, VIENNA, VA 22181-5570
(410) 330-9012
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002737
VA
Other
Enumeration date
04/25/2020
Last updated
04/25/2020
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