Individual
MRS. SALLY SUSAN EGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS
Contact information
Practice address
100 CTY RD B, THERAPY SERVICES, SHAWANO, WI 54166-7072
(715) 526-2111
Mailing address
W12529 ZIMDARS RD, LEOPOLIS, WI 54948-9732
(715) 853-3565
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/15/2007
Last updated
10/04/2015
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