NPI | 1689755514 |
---|---|
Former Name | LORI A RAFFERTY |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: PA RT001380A) |
Enumeration Date | 2006-10-18 |
Last Update Date | 2016-11-03 |