Individual
KRISTEN BRUNDAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
16 PELHAM RD, SALEM, NH 03079-2826
(603) 898-2244
Mailing address
23 BOWDOIN ST, SOMERVILLE, MA 02143-3827
(617) 999-9019
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0589
NH
2255A2300X
Athletic Trainer
2412
MA
Other
Enumeration date
07/08/2014
Last updated
11/10/2014
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