| NPI | 1003404955 |
|---|---|
| Former Name | REBECCA ANN KOBLE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: VA 0126000156) |
| Enumeration Date | 2021-01-06 |
| Last Update Date | 2021-01-06 |