Individual
MISS BRITTANY LYNN SHOUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT, ATC
Contact information
Practice address
1193 CORNISH DR, DE GRAFF, OH 43318-9617
(937) 622-0889
Mailing address
1193 CORNISH DR, DE GRAFF, OH 43318-9617
(937) 622-0889
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT.004922
OH
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
01/05/2015
Last updated
04/01/2016
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