MISS Erica Leigh Vanover, LAT, ATC

NPI #1598201840 in Normal, Illinois

Provider Information

NPI Number: 1598201840
Entity Type: Individual
Name: MISS Erica Leigh Vanover, LAT, ATC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: LAT, ATC
Enumeration Date: Jan 10, 2017
Last Updated: Dec 26, 2020

Practice Location

Address: 727 W RAAB RD APT 11
City: Normal
State: Illinois
ZIP Code: 61761-4145
Phone: (614) 288-3612

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X

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