Individual
MRS. HEATHER ARLENE KOHLBUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
658 BOULTON ST STE A, BEL AIR, MD 21014-4214
(410) 638-9400
(410) 638-9061
Mailing address
8 OVERBROOK LN, BEL AIR, MD 21014-4510
(410) 638-5162
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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