Individual
BRIAN L SIMERVILLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
GOSSETT FOOTBALL TEAM HOUSE, UNIVERSITY OF MARYLAND, COLLEGE PARK, MD 20742-0001
(301) 314-9901
(877) 863-2802
Mailing address
486 FAWNS WALK, ANNAPOLIS, MD 21409-5657
(410) 212-8506
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000150
MD
Other
Enumeration date
11/05/2013
Last updated
11/05/2013
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