Individual
MR. BRIAN L FAIRBROTHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, CSCS
Contact information
Practice address
1 CIVIC CENTER PLZ, HARTFORD, CT 06103-1504
(860) 967-0478
Mailing address
1 CIVIC CENTER PLZ, HARTFORD, CT 06103-1504
(860) 967-0478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
000388
CT
Other
Enumeration date
02/07/2006
Last updated
01/08/2015
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