NPI | 1336793587 |
---|---|
Former Name | ALLISON FORAND |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: TN 2815) |
2255A2300X Specialist/Technologist Athletic Trainer (Licence: GA AT004350) | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2019-07-26 |
Last Update Date | 2024-03-28 |