Individual
KATELIN HAWTHORNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT, CPT
Contact information
Practice address
120 WILDWOOD RD, MIDLAND, PA 15059-2200
(724) 312-3337
Mailing address
120 WILDWOOD RD, MIDLAND, PA 15059-2200
(724) 312-3337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004246
OH
2255A2300X
Athletic Trainer
RT005491
PA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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