Individual
ELIZABETH MARIE FLOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
030
WY
2255A2300X
Athletic Trainer
Primary
AT-AT-10178305
OR
Other
Enumeration date
06/13/2013
Last updated
03/29/2017
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