Individual
SUSAN CHRISTINE WEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
3919 GLORIA ST, WAYNE, MI 48184-1956
(734) 788-9362
Mailing address
3919 GLORIA ST, WAYNE, MI 48184-1956
(734) 788-9362
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001165
MI
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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