| NPI | 1598739237 |
|---|---|
| Former Name | REBECCA S DANIELS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer (Licence: OH AT001615) |
| Enumeration Date | 2006-02-16 |
| Last Update Date | 2015-06-28 |