Individual
MR. BRENDAN COPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, ATC
Contact information
Practice address
352 BELAIR DR, COLCHESTER, VT 05446-6544
(802) 233-3634
Mailing address
352 BELAIR DR, COLCHESTER, VT 05446-6544
(802) 233-3634
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000028301
BOC
—
Enumeration date
09/13/2020
Last updated
09/13/2020
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