| NPI | 1538299136 |
|---|---|
| Former Name | AMY NICOLE ERDALL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Additional Taxonomies | 225200000X Physical Therapy Assistant |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2016-08-26 |