Individual
BREMONT KEAIRIS ROBISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 E 17TH ST, ERIE, PA 16503-2002
(814) 218-4759
Mailing address
440 E 17TH ST, ERIE, PA 16503-2002
(814) 218-4759
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
PA
Other
Enumeration date
03/21/2019
Last updated
03/21/2019
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