| NPI | 1881248201 |
|---|---|
| Former Name | REBECCA TENIEL KOZLOWSKI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: TX AT8725) |
| Enumeration Date | 2019-07-25 |
| Last Update Date | 2022-01-14 |