ALLISON SUSA

CONWAY, AR
NPI1063892263
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2015-06-02
Last Update Date2017-10-23
Business Address
ALLISON SUSA ATC
2200 MEADOWLAKE RD APT. 1703
CONWAY, AR 72032-2578
Phone number: 715-937-2017
Mailing Address
ALLISON SUSA ATC
201 DONAGHEY AVE
CONWAY, AR 72035-5001
Phone number: 715-937-2017