Individual
MRS. SARA LYNN VIDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
9800 TURK RD, OTTAWA LAKE, MI 49267-8733
(734) 856-7048
Mailing address
9800 TURK RD, OTTAWA LAKE, MI 49267-8733
(734) 856-7048
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/31/2006
Last updated
07/08/2007
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