NPI | 1073815155 |
---|---|
Former Name | ASHLEY ANN CANFIELD |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT001749) |
Additional Taxonomies | 156FX1900X Technician/Technologist Orthoptist |
Enumeration Date | 2010-11-23 |
Last Update Date | 2019-02-19 |