Individual
MR. ROBERT HENRY BRAINERD JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LATC, CSCS
Contact information
Practice address
30 BELGRADE AVE, SUITE A, AUBURN, ME 04210-4095
(207) 783-0018
(207) 783-0019
Mailing address
13 SAINT TEKAKWITHA DR, LEWISTON, ME 04240-2456
(207) 784-3477
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT65
ME
Other
Enumeration date
03/19/2011
Last updated
03/19/2011
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