Individual
BRENNA M ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
8637 SHADY PINES DR, URBANA, MD 21704-6765
(919) 995-1469
Mailing address
8637 SHADY PINES DR, URBANA, MD 21704-6765
(919) 995-1469
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0001431
MD
Other
Enumeration date
12/02/2022
Last updated
12/02/2022
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