OLIVIA VITA-FARNSWORTH

MISSISSIPPI STATE, MS
NPI1497163422
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  A992)
Additional Taxonomies2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126003204)
Enumeration Date2014-07-22
Last Update Date2020-07-03
Business Address
OLIVIA VITA-FARNSWORTH MS, LAT, ATC
288 LAKEVIEW DRIVE
MISSISSIPPI STATE, MS 39762
Phone number: 662-325-2165
Mailing Address
OLIVIA VITA-FARNSWORTH MS, LAT, ATC
PO BOX 5327
MISSISSIPPI STATE, MS 39762-5327
Phone number: 662-325-2165