Individual
MS. BRANDY BROOKE HANNAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L ,A.T.C.
Contact information
Practice address
4600 4TH ST N, ST PETERSBURG, FL 33703-3802
(813) 810-3817
Mailing address
303 PENNSYLVANIA AVE, CLEARWATER, FL 33755-4442
(813) 810-3817
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL 1389
FL
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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