Individual
HANNAH J GATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1140 COLLEGE DRIVE BOX 563, PINEVILLE, LA 71359-0001
(318) 487-7792
Mailing address
1600 SUNBURST LN, PINEVILLE, LA 71360-5835
(206) 331-5548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
306780
LA
Other
Enumeration date
08/12/2017
Last updated
08/12/2017
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