Individual
KATHERINE THERESA DELCONTIVO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC, LAT
Contact information
Practice address
7300 REINHARDT CIR, WALESKA, GA 30183-2981
(770) 720-5821
(770) 720-5752
Mailing address
7300 REINHARDT CIR, WALESKA, GA 30183-2981
(770) 720-5821
(770) 720-5752
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/14/2011
Last updated
07/31/2014
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