Individual
BRANDON HALLAWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2098 HILLSIDE RD, STORRS, CT 06268
(860) 486-4900
Mailing address
26 WILLOW LN, CLINTON, CT 06413-1528
(203) 823-8951
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
10/21/2020
Last updated
10/21/2020
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