| NPI | 1346206026 |
|---|---|
| Other Name | BJ LOUGH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT2804) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT1289) |
| Enumeration Date | 2006-04-21 |
| Last Update Date | 2015-01-21 |