Individual
KATHERINE TAVERAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8830 TIDESEBB CT, COLUMBIA, MD 21045-2515
(443) 730-4255
Mailing address
8830 TIDESEBB CT, COLUMBIA, MD 21045-2515
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
MD-10275715504
MD
Other
Enumeration date
05/14/2025
Last updated
05/14/2025
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