Individual
BROOKE WEILAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
684 STORM RD, LORETTO, PA 15940
(814) 414-9793
Mailing address
684 STORM RD, LORETTO, PA 15940-8612
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
RT006989
PA
2255A2300X
Athletic Trainer
—
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
PA
Other
Enumeration date
09/06/2017
Last updated
12/17/2019
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