Provider Demographics
NPI:1942719828
Name:HARRINGTON, DILLON ANDREW (ATC)
Entity Type:Individual
Prefix:
First Name:DILLON
Middle Name:ANDREW
Last Name:HARRINGTON
Suffix:
Gender:M
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1301 N STAFFORD ST
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22201-4840
Mailing Address - Country:US
Mailing Address - Phone:239-322-0294
Mailing Address - Fax:
Practice Address - Street 1:1301 N STAFFORD ST
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22201-4840
Practice Address - Country:US
Practice Address - Phone:703-283-8316
Practice Address - Fax:239-322-0294
Is Sole Proprietor?:No
Enumeration Date:2017-09-24
Last Update Date:2017-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01260026782255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer