| NPI | 1881094605 |
|---|---|
| Former Name | TIFFANY L OSTRANDER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: WA A160182746) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2017-08-28 |