Individual
AIMEE MARIE NEUBECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., AT, ATC
Contact information
Practice address
4925 ORCHARD LAKE RD, WEST BLOOMFIELD, MI 48323-2964
(616) 889-9548
Mailing address
6443 MISTY CT, WATERFORD, MI 48327-1797
(616) 889-9548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601000834
MI
Other
Enumeration date
01/09/2018
Last updated
01/09/2018
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