| NPI | 1962976795 |
|---|---|
| Former Name | JESSICA KLINGAMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: OH AT006421) |
| Enumeration Date | 2019-01-15 |
| Last Update Date | 2024-11-05 |