Individual
MEGHAN PATORAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1585 3RD ST, FORT POLK, LA 71459-5102
(201) 452-1074
Mailing address
1731 PLANER MILL RD, DERIDDER, LA 70634-9177
(201) 452-1074
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/31/2016
Last updated
08/15/2022
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