Healthcare Provider Details
I. General information
NPI: 1952364432
Provider Name (Legal Business Name): VERONICA AMPEY MS, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: X
II. Dates (important events)
Enumeration Date: 04/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4200 DAVENPORT ST NW
WASHINGTON DC
20016-4560
US
IV. Provider business mailing address
7616 MANDAN RD
GREENBELT MD
20770-2171
US
V. Phone/Fax
- Phone: 202-274-3191
- Fax: 202-274-3225
- Phone: 202-274-3191
- Fax: 202-274-3225
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 2255A2300X |
| Taxonomy | Athletic Trainer |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: