Individual
DR. KATHARINE POLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DAT, ATC, LAT
Contact information
Practice address
401 E 8TH ST, FORT WORTH, TX 76102-5504
(469) 352-6804
Mailing address
401 E 8TH ST, FORT WORTH, TX 76102-5504
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT6693
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AT6693
TEXAS DEPARTMENT OF LICENSING AND REGISTRATION
TX
Enumeration date
01/12/2021
Last updated
01/12/2021
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