Individual
MR. BRANDON WAYNE HALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
102C EAST AREA LOCKER ROOM, THE PENNSYLVANIA STATE UNIVERSITY, UNIVERSITY PARK, PA 16802
(814) 865-8296
Mailing address
114 KENLEY CT, STATE COLLEGE, PA 16803-1171
(814) 386-1770
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT004545
PA
Other
Enumeration date
09/03/2014
Last updated
09/03/2014
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