| NPI | 1760106165 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY DESORBO Licensed Athletic Trainer 419-482-8244 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |