Individual
BRIANNA DIANTONIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
712 SPORTS CENTER DRIVE, LEXINGTON, KY 40506-0001
(908) 461-2826
Mailing address
3800 NICHOLASVILLE RD APT 12326, LEXINGTON, KY 40503-6350
(908) 461-2826
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT1405
KY
Other
Enumeration date
10/11/2018
Last updated
10/11/2018
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