Individual
KATHERINE COUSIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
100 STADIUM DRIVE, BATON ROUGE, LA 70803-0001
(225) 578-2050
Mailing address
10201 PARK ROWE AVE APT 4111, BATON ROUGE, LA 70810-2337
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/22/2021
Last updated
06/22/2021
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