NPI | 1134832678 |
---|---|
Entity Type | Organization |
Authorized Contact | JOELLEN RICH Owner Operator 850-316-1249 |
Organization Subpart ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
Enumeration Date | 2022-12-29 |
Last Update Date | 2022-12-29 |