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Individual

KATELYN MARIE ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AT

Contact information

Practice address
4674 BRITTON PKWY, HILLIARD, OH 43026-9823
(614) 210-4530
(614) 210-4539
Mailing address
236 W COMO AVE, COLUMBUS, OH 43202-1030

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT004146
OH

Other

Enumeration date
06/19/2018
Last updated
06/19/2018
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