| NPI | 1053687657 |
|---|---|
| Former Name | CHELSEA MARIE DOSTER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT003823) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2014-11-28 |