NPI | 1578815973 |
---|---|
Entity Type | Organization |
Authorized Contact | TINA OUTWATER Office Manager 330-869-2635 |
Organization Subpart ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH 003349) |
Enumeration Date | 2012-10-09 |
Last Update Date | 2012-10-09 |