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Individual
KATHERINE DONOVAN HENRY
Active
Individual
KATHERINE DONOVAN HENRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
000613
CT
2255A2300X
Athletic Trainer
Primary
1869
MA
Other
Enumeration date
01/21/2010
Last updated
03/07/2021
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