Individual
KATHERINE LEE MOOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, ATC
Contact information
Practice address
1533 S MAIN ST, WINSTON SALEM, NC 27127-2738
(336) 631-1512
Mailing address
1533 S MAIN ST, WINSTON SALEM, NC 27127-2738
(336) 631-1512
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
67002433
NY
Other
Enumeration date
07/13/2014
Last updated
04/29/2022
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