Individual
MR. BRETT BERNARD PHELAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
285 BABCOCK ST, BOSTON UNIVERSITY SPORTS MEDICINE, BOSTON, MA 02215-1003
(617) 358-4289
(617) 353-7579
Mailing address
148 MASON TER, APT 2, BROOKLINE, MA 02446-2772
(215) 901-8733
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
01633
MA
Other
Enumeration date
10/12/2005
Last updated
07/08/2007
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