Individual
STEPHANIE ROUSSEAU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1700 DOGWOOD MILE ST, LAURINBURG, NC 28352-5521
(910) 277-5273
Mailing address
1700 DOGWOOD MILE ST, LAURINBURG, NC 28352-5521
(910) 277-5273
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2136
NC
Other
Enumeration date
03/17/2014
Last updated
03/17/2014
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