The Potomac School
Specialist/Technologist, Athletic Trainer in Mc Lean, VA. Organization (NPI-2).
NPI number1164819660
StatusActive
Last updated in NPPESApr 22, 2015
Details
- NPI
- 1164819660
- Entity type
- Organization (NPI-2)
- Legal business name
- The Potomac School
- Organization subpart
- No
- Enumeration date
- Apr 22, 2015
- Last updated
- Apr 22, 2015
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | 0126000115 | VA | Yes |
Practice location
1301 Potomac School RdMc Lean, VA 22101-2350
Phone 703-489-7632
Mailing address
1301 Potomac School RdMc Lean, VA 22101-2350
Phone 703-489-7632
Authorized official
Terrence Cummings
Head Athletic Trainer
7034897632
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