Individual
TABITHA MARIE HOVERMALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
301 KING STREET, SHEPHERDSTOWN, WV 25443
(304) 876-5000
Mailing address
601 FOXCROFT AVE, APT 3C, MARTINSBURG, WV 25401
(304) 820-2152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/26/2023
Last updated
09/26/2023
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