Individual
BRENNA LAPE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
421 BALDWIN PLACE RD, MAHOPAC, NY 10541-4611
(845) 628-3256
Mailing address
837 N CLOVE RD, MILLBROOK, NY 12545-6603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
002002-1
NY
Other
Enumeration date
06/19/2015
Last updated
06/19/2015
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