Marielle Isenberg, ATC
Specialist/Technologist, Athletic Trainer in Mc Lean, VA. Individual provider (NPI-1).
NPI number1104117852
StatusActive
Last updated in NPPESOct 5, 2023
Details
- NPI
- 1104117852
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Marielle Isenberg
- Credential
- ATC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 28, 2011
- Certification date
- Oct 5, 2023
- Last updated
- Oct 5, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 050702076 | VA | Yes |
Practice location
8401 Greensboro Dr Ste 120Mc Lean, VA 22102-5101
Phone 301-530-1010 · Fax 301-897-8597
Mailing address
10215 Fernwood Rd Ste 506Bethesda, MD 20817-1184
Phone 301-530-1010
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