Individual
MORGAN ST HENRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
57850 VAN DYKE RD STE 200, WASHINGTON, MI 48094-3821
(586) 992-0869
Mailing address
2084 HUNTINGTON DR, LAKE ORION, MI 48360-2264
(248) 496-4709
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2601002325
MI
Other
Enumeration date
01/05/2022
Last updated
01/05/2022
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