| NPI | 1124688809 |
|---|---|
| Former Name | BETH ANNE ABBOTT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT004941) |
| Enumeration Date | 2019-06-16 |
| Last Update Date | 2019-06-16 |