Brandee Danielle Dittbrender
Specialist/Technologist, Athletic Trainer in Gainesville, FL. Individual provider (NPI-1).
NPI number1861982977
StatusActive
Last updated in NPPESJun 26, 2019
Details
- NPI
- 1861982977
- Entity type
- Individual (NPI-1)
- Name
- Brandee Danielle Dittbrender
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- May 14, 2018
- Last updated
- Jun 26, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AL5660 | FL | Yes |
Practice location
3450 Hull RdGainesville, FL 32607-3260
Phone 352-273-7001
Mailing address
Po Box 301Poplar, WI 54864-0301
Phone 218-409-2929
Other practice locations
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