| NPI | 1114300746 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY ALAN HANCOCK Head Athletic Trainer 419-207-6195 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT-O01551) |
| Enumeration Date | 2015-07-01 |
| Last Update Date | 2015-07-01 |