Individual
SUSAN L COURCHESNE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
585 LEBANON ST, MELROSE, MA 02176-3225
(781) 979-3563
Mailing address
2 RUBY RD, SAUGUS, MA 01906-3922
(781) 941-8109
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
308
MA
Other
Enumeration date
05/30/2007
Last updated
07/08/2007
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