Individual
STEFANIE WASHBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
34 BAY SPRINGS DR, SIMPSONVILLE, SC 29681-6900
(419) 294-7522
Mailing address
34 BAY SPRINGS DR, SIMPSONVILLE, SC 29681-6900
(419) 294-7522
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SC
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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