Individual
VICTORIA MAXE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, CFO, ROT
Contact information
Practice address
24 FRANK LLOYD WRIGHT DR, LOBBY A, ANN ARBOR, MI 48105-9484
(734) 930-7415
(734) 930-7379
Mailing address
14218 LEVAN ROAD, LIVONIA, MI 48154
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601001025
MI
Other
Enumeration date
11/19/2015
Last updated
11/19/2015
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