Individual
KATIE LYN OSTROVECKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
640 MAIN ST, EL SEGUNDO, CA 90245-3057
(703) 489-2633
Mailing address
223 SHELDON ST, EL SEGUNDO, CA 90245-3918
(703) 489-2633
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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