Individual
LAURA JUZESZYN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
567 N 5TH ST, SS 172, TERRE HAUTE, IN 47809-1903
(812) 237-9613
(812) 237-9612
Mailing address
180 S MAPLE ST, P.O. BOX 184, CLIFTON, IL 60927-9411
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
096.003173
IL
2255A2300X
Athletic Trainer
Primary
36001878A
IN
Other
Enumeration date
11/09/2011
Last updated
11/09/2011
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