Individual
BRENNA PATRIARCA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
109 UNIVERSITY SQ, ERIE, PA 16541-0002
(000) 000-0000
Mailing address
9685 ABBEYSHIRE WAY, CONCORD TOWNSHIP, OH 44060-6551
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
06/23/2025
Last updated
03/05/2026
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