Individual
KATHERINE SALANGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
135 N WILLIAMSBURG DR, BLOOMINGTON, IL 61704-3528
(309) 664-9104
Mailing address
223 KALAMAZOO ST, EAST LANSING, MI 48824-5400
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096.004770
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/16/2017
Last updated
09/15/2020
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