Individual
BRANDON OLAYA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
250 UNIVERSITY AVE, CALIFORNIA, PA 15419-1341
(724) 938-4562
Mailing address
2088 E CHESTNUT AVE, VINELAND, NJ 08361-8432
(609) 364-3778
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT005906
PA
Other
Enumeration date
08/31/2014
Last updated
08/31/2014
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