Individual
ALIVIA BRAUNBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LAT, ATC
Contact information
Practice address
1627 BAER AVE, HANOVER, PA 17331-4204
(570) 447-6396
Mailing address
1627 BAER AVE, HANOVER, PA 17331-4204
(570) 447-6396
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/01/2020
Last updated
08/02/2022
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