Individual
MISS KATHLEEN ANN MORAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
501 ATLANTIC AVE, OCEAN CITY, NJ 08226-3892
(609) 338-3747
Mailing address
501 ATLANTIC AVE, OCEAN CITY, NJ 08226-3892
(609) 338-3747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00164500
NJ
2255A2300X
Athletic Trainer
RT005053
PA
Other
Enumeration date
11/01/2011
Last updated
12/14/2020
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