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Individual

MS. SUZANNE D. ENOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.S., ATC

Contact information

Practice address
2001 NEWBURG RD, KNIGHTS HALL, LOUISVILLE, KY 40205-1863
(502) 452-8379
Mailing address
4104 STONY RIDGE RD, #22, LOUISVILLE, KY 40299-7336
(502) 299-4775

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT453
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
RESPIRATORY, REHABILITATI
KY
Enumeration date
03/12/2007
Last updated
07/08/2007
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