Individual
PATRICIA KELLY BARE GROUNDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
445 TEXANNA WAY, HOLLY SPRINGS, NC 27540-7351
(850) 582-2067
Mailing address
445 TEXANNA WAY, HOLLY SPRINGS, NC 27540-7351
(850) 582-2067
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-2444
NC
Other
Enumeration date
05/02/2020
Last updated
05/02/2020
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