Individual
KATHERINE ANNE MALIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
15 MOUNT PELIA RD, 1022 ELAM CENTER, MARTIN, TN 38237-3313
(731) 881-7679
Mailing address
111 LAKE HOLLINGSWORTH DR, LAKELAND, FL 33801-5607
(863) 680-4267
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1241
TN
2255A2300X
Athletic Trainer
—
—
Other
Enumeration date
04/21/2015
Last updated
03/21/2024
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