| NPI | 1619390812 |
|---|---|
| Former Name | ABBEY MARIE PAISLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT.004906) |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: NC 1942) |
| Enumeration Date | 2014-01-24 |
| Last Update Date | 2016-11-28 |