Individual
BRIAN TOWNSEND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
254 WESTERN AVE, SOUTH PORTLAND, ME 04106-2410
(207) 741-0220
Mailing address
254 WESTERN AVE, SOUTH PORTLAND, ME 04106-2410
(207) 741-0220
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT204
ME
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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