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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CHARLES MARSHALL MOZENA, ATC, LAT

Active

CHARLES MARSHALL MOZENA, ATC, LAT is a Athletic Trainer healthcare provider located in NORFOLK, Virginia. NPI 1679054035 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · NORFOLK, VA

Registration Details

NPI Number
1679054035
Provider Type
Individual
Gender
Male
NPI Issued
Aug 23, 2018 (7.792465518361 yrs)
Last Updated
Aug 23, 2018
Licenses
01260030039 (VA)
2000031468

Practice Information

Address
4700 POWHATAN AVENUE
NORFOLK, VA, 235290001
Browse VA providers · Browse ZIP 23529
Phone
7576833384
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in NORFOLK, VA

Name Credential NPI
MR. JONATHAN WILLIAMS MS, VATL, ATC, CSCS 1346205762
MRS. JACQUELINE ROSE IANNICCA MSED, ATC, CSCS 1134237811
MR. MICHAEL HUTCHINSON CALL M.S.,ATC,CSCS 1104984079
MR. JASON CHRISTOPHER MITCHELL MSED, ATC, V, ATL 1689792798
MR. KEVIN STUART BENDER ATC 1770605875
MR. ROBERT ERNEST LIEBAU VATL, ATC 1598986168
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.