Individual
KATARINA HANIFAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
45 E GREEN DR RM 326, ATHENS, OH 45701-3137
(740) 819-1382
Mailing address
2825 S HANNAH DR, ZANESVILLE, OH 43701-9424
(740) 819-1382
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/10/2015
Last updated
06/02/2019
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