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Individual

KATHERINE MARIE COOK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LAT, ATC

Contact information

Practice address
215 GILBERT ST, BLACKSBURG, VA 24060-3305
(540) 961-8061
Mailing address
5331 TWILIGHT RD, ROANOKE, VA 24019-2521

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126003044
VA

Other

Enumeration date
05/08/2020
Last updated
05/08/2020
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