Individual
MEGAN GUSTAEVEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1401 S ARCH AVE, ALLIANCE, OH 44601-4202
(330) 821-0201
Mailing address
845 LILLY RD, ALLIANCE, OH 44601-3812
(330) 581-1536
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT878
OH
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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