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Individual

BRANDON FITZGERALD MCCLENDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, ATC, LAT, PES,

Contact information

Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(412) 432-3770
(412) 432-3774
Mailing address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(412) 432-3770
(412) 432-3774

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004400
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
22
RESPIRATORY, REHABILITATIVE & RESTORATIVE SERVICE PROVIDER
PA
Enumeration date
06/10/2014
Last updated
06/10/2014
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