Individual
CAROLINE NOELLE THORNBURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
124 CREEKSIDE DR, MORGANTOWN, WV 26508-9095
(304) 380-1620
Mailing address
124 CREEKSIDE DR, MORGANTOWN, WV 26508-9095
(304) 380-1620
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
01/17/2019
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