Individual
MELINDA MAE BRENNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, CSCS
Contact information
Practice address
364 WESTWOOD AVE, UNIT 48, LONG BRANCH, NJ 07740-5565
(732) 233-5796
(732) 601-7069
Mailing address
364 WESTWOOD AVE, UNIT 48, LONG BRANCH, NJ 07740-5565
(732) 233-5796
(732) 601-7069
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00086300
NJ
Other
Enumeration date
03/12/2008
Last updated
03/12/2008
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