Individual
CATHERINE SO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(434) 907-2814
Mailing address
111 PACOS ST, LYNCHBURG, VA 24502-2842
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002409
VA
Other
Enumeration date
10/11/2016
Last updated
02/09/2024
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