| NPI | 1487058343 |
|---|---|
| Former Name | ALYSSA COLLEEN TENDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation Sports Medicine (Licence: OH AT005607) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner (Licence: OH AT005607) |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: OH AT005607) | |
| Enumeration Date | 2014-10-21 |
| Last Update Date | 2019-02-11 |