Individual
KATHRYN FONSECA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
82 COLLEGE CIRCLE, DAHLONEGA, GA 30533
(706) 864-1670
Mailing address
82 COLLEGE CIRCLE, DAHLONEGA, GA 30533
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT003780
GA
Other
Enumeration date
11/06/2018
Last updated
02/03/2022
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