Individual
KATELYN ELLEN DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
412 HALE ST, PRIDES CROSSING, MA 01965-9800
(978) 236-3010
Mailing address
143 CANAL ST APT 9, SALEM, MA 01970-4603
(845) 803-1181
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2509
AL
2255A2300X
Athletic Trainer
3890
MA
Other
Enumeration date
11/21/2017
Last updated
06/21/2024
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