MRS. Katharine Banning Rose, EDM, AT, ATC

NPI #1346630605 in Holland, Michigan

Provider Information

NPI Number
1346630605
Entity Type
Individual
Name
MRS. Katharine Banning Rose, EDM, AT, ATC
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
EDM, AT, ATC
Enumeration Date
Jan 26, 2015
Last Updated
Jan 26, 2015

Practice Location

Address
222 FAIRBANKS AVE
ZIP Code
49423-3735
Phone
(815) 757-7287

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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