Individual
MS. KATE FAULK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
11609 LA HWY 699, MAURICE, LA 70555-3602
(337) 288-2000
Mailing address
11102 LA HWY 697, ABBEVILLE, LA 70510-4369
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/17/2019
Last updated
04/25/2020
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