| NPI | 1457728644 |
|---|---|
| Former Name | VANESSA DOYLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2251S0007X Physical Therapist, Sports (Licence: P17407) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic |
| 2255A2300X Specialist/Technologist, Athletic Trainer | |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2018-07-18 |