Individual
SUSAN TAAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3500 WASHINGTON ST APT 1510, TEXARKANA, AR 71854-5894
(870) 550-3866
Mailing address
333 LINKS DR APT 1510, TEXARKANA, AR 71854-8523
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2000030182
VA
Other
Enumeration date
09/28/2017
Last updated
09/28/2017
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