Individual
CLAUDIA KOSTICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
(252) 436-1640
Mailing address
566 RUIN CREEK RD, HENDERSON, NC 27536-2927
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
LAT-3625
NC
Other
Enumeration date
02/17/2019
Last updated
02/17/2019
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