Individual
KATHERINE TANGUAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS ATC
Contact information
Practice address
805 SAINT VINCENTS DR, SUITE G100, BIRMINGHAM, AL 35205-1636
(205) 939-1557
Mailing address
4352 RIDGEMONT CIR, BIRMINGHAM, AL 35244-1253
(315) 569-3391
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
245
HI
Other
Enumeration date
04/19/2016
Last updated
04/19/2016
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