Brenna M Allen, ATC, LAT
Specialist/Technologist, Athletic Trainer in Urbana, MD. Individual provider (NPI-1).
NPI number1699485441
StatusActive
Last updated in NPPESDec 2, 2022
Details
- NPI
- 1699485441
- Entity type
- Individual (NPI-1)
- Name
- Brenna M Allen
- Credential
- ATC, LAT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 2, 2022
- Certification date
- Dec 2, 2022
- Last updated
- Dec 2, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | A0001431 | MD | Yes |
Practice location
8637 Shady Pines DrUrbana, MD 21704-6765
Phone 919-995-1469
Mailing address
8637 Shady Pines DrUrbana, MD 21704-6765
Phone 919-995-1469
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