Individual
ALLISON SUSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
2200 MEADOWLAKE RD, APT. 1703, CONWAY, AR 72032-2578
(715) 937-2017
Mailing address
201 DONAGHEY AVE, CONWAY, AR 72035-5001
(715) 937-2017
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/02/2015
Last updated
10/23/2017
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