Individual
SUSAN LAUGHBAUM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC, LAT, CSCS
Contact information
Practice address
10800 WINERY RD, WADESVILLE, IN 47638-9540
(812) 963-0948
Mailing address
10800 WINERY RD, WADESVILLE, IN 47638-9540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
36000190
IN
Other
Enumeration date
04/26/2006
Last updated
07/08/2007
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