Individual
BRIANNE GLEASON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1001 E 2ND ST, COUDERSPORT, PA 16915-8161
(814) 274-5300
Mailing address
125 LAFFERTY HOLLOW RD, BRADFORD, PA 16701-3432
(814) 558-3574
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005784
PA
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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