Individual
MS. KATHERINE LYNETTE SULLIVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
6600 HOME CAMP RD, DU BOIS, PA 15801-5642
(814) 591-5369
Mailing address
6600 HOME CAMP RD, DU BOIS, PA 15801-5642
(814) 591-5369
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
PA
Other
Enumeration date
06/08/2009
Last updated
06/08/2009
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