Individual
BROOKE NICOLE MANEVAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
Mailing address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006788
PA
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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