| 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 |