Individual
BRANDON SCOTT DEGRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
577 WESTERN AVE, WESTFIELD, MA 01085-2580
(413) 896-6316
Mailing address
1 WEBSTER AVE, WESTFIELD, MA 01085-3603
(413) 896-6316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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