Individual
MRS. KIMBERLY ANN FATERKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
7909 FRY RD, CYPRESS, TX 77433-3240
(281) 345-3000
(281) 345-3009
Mailing address
8542 PEARL LAKE DR, HOUSTON, TX 77095-2032
(281) 345-3000
(281) 345-3009
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2850
TX
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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