| NPI | 1790421519 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON FERGUSON Director Of Operations 484-661-3946 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist Athletic Trainer |
| Enumeration Date | 2022-05-05 |
| Last Update Date | 2022-05-05 |