Individual
COLLEEN FUSSELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2 BUCKEYE DR, NELSONVILLE, OH 45764-9591
(407) 595-7793
Mailing address
363 RICHLAND AVE APT 280, ATHENS, OH 45701-3281
(407) 595-7793
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
GUG3YD
FL
2255A2300X
Athletic Trainer
Primary
AT5693
OH
Other
Enumeration date
08/09/2018
Last updated
08/09/2018
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