Individual
MS. KATHY M PLINE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC/L
Contact information
Practice address
1302 FRANKLIN AVE, NORMAL, IL 61761-3551
(309) 268-2491
Mailing address
203 N GROVE ST, NORMAL, IL 61761-2470
(309) 830-1714
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/22/2006
Last updated
07/08/2007
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