Individual
BRANDEE DANIELLE DITTBRENDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3450 HULL RD, GAINESVILLE, FL 32607-3260
(352) 273-7001
Mailing address
PO BOX 301, POPLAR, WI 54864-0301
(218) 409-2929
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AL5660
FL
Other
Enumeration date
05/14/2018
Last updated
06/26/2019
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