Individual
KATHERINE R ROECKNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1659 BAY LAUREL DR, MARYSVILLE, OH 43040-9631
(614) 323-2630
Mailing address
1659 BAY LAUREL DR, MARYSVILLE, OH 43040-9631
(614) 323-2630
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-002421
OH
Other
Enumeration date
05/07/2007
Last updated
07/02/2013
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