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 |