NPI | 1790909232 |
---|---|
Former Name | ANN MARIE COOPER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT-002456) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2007-07-08 |