Individual
KATHERINE M WIECKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
600 FORBES AVE, PITTSBURGH, PA 15219-3016
(412) 874-0154
Mailing address
15 HODGE ST, PITTSBURGH, PA 15213-4206
(412) 874-0154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
ATR-001663
AZ
Other
Enumeration date
10/28/2019
Last updated
10/28/2019
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