| 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 |