Individual
SUZANNE GUSHIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
501 E 38TH ST, ERIE, PA 16546-0002
(814) 824-3012
Mailing address
501 E 38TH ST, ERIE, PA 16546-0002
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT002004A
PA
Other
Enumeration date
01/01/2018
Last updated
01/01/2018
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