Individual
BRANDON TRENT OWEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC, CSCS
Contact information
Practice address
200 MILITARY DR, CHATHAM, VA 24531-4658
(434) 432-2481
(434) 432-3129
Mailing address
11468 FRANKLIN TPKE, CHATHAM, VA 24531-4923
(434) 251-1334
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001693
VA
Other
Enumeration date
04/24/2015
Last updated
04/24/2015
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