Jacqueline Durst, ATC, LAT

NPI #1003203068 in Frostburg, Maryland

Provider Information

NPI Number
1003203068
Entity Type
Individual
Name
Jacqueline Durst, ATC, LAT
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Emergency Medicine - Sports Medicine
Credential
ATC, LAT
Enumeration Date
Apr 16, 2015
Last Updated
Apr 16, 2015

Practice Location

Address
101 BRADDOCK RD
Address 2
FROSTBURG STATE UNIVERSITY KINESIOLOGY DEPARTMENT
ZIP Code
21532-2303
Phone
(301) 697-2801

Specialties & Taxonomy Codes

Specialty
Emergency Medicine - Sports MedicineSports Medicine

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