Individual
MRS. KATHERINE DOCTOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1136 JOLIETTE RD, NORTH CHESTERFIELD, VA 23235-6132
(804) 303-1448
Mailing address
1136 JOLIETTE RD, NORTH CHESTERFIELD, VA 23235-6132
(804) 303-1448
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000474
VA
Other
Enumeration date
08/21/2014
Last updated
08/21/2014
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