Individual
MS. BETHANIE ANNE BRANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
42 WOLF RD UNIT 523, LEBANON, NH 03766-1935
(207) 512-0608
Mailing address
42 WOLF RD UNIT 523, LEBANON, NH 03766-1935
(207) 512-0608
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0562
NH
Other
Enumeration date
12/11/2013
Last updated
12/11/2013
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