NPI | 1730954132 |
---|---|
Former Name | DAWN L TORKELSON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT003720) |
Enumeration Date | 2023-11-16 |
Last Update Date | 2023-11-16 |