Individual
MARY BRAZUNAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
550 S GODDARD BLVD, KING OF PRUSSIA, PA 19406-2922
(717) 495-3885
Mailing address
1259 UPPER GULPH RD, WAYNE, PA 19087-2735
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004320
PA
Other
Enumeration date
04/24/2012
Last updated
12/16/2024
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