Individual
MISS THERESA ANNE GETHINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
460 E HUMBOLDT ST, SAN JOSE, CA 95136
(513) 324-2006
Mailing address
1393 S 7TH ST, SAN JOSE, CA 95112-5909
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
05/26/2021
Last updated
05/26/2021
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