Individual
SUSAN WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-8890
Mailing address
706 RIDGE RD, MUNSTER, IN 46321-1612
(219) 836-8890
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT20902665
IN
Other
Enumeration date
07/14/2014
Last updated
07/14/2014
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