Susan C Stevenson, MS, ATC/L

NPI #1962470013 in Rockford, Illinois

Provider Information

NPI Number: 1962470013
Entity Type: Individual
Name: Susan C Stevenson, MS, ATC/L
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Specialist
Credential: MS, ATC/L
Enumeration Date: Mar 14, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 5050 E STATE ST
City: Rockford
State: Illinois
ZIP Code: 61108-2311
Phone: (815) 394-5075

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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