Individual
KYLE BROSTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
1 SCARLET KNIGHT WAY, PISCATAWAY, NJ 08854-8069
(609) 330-2926
Mailing address
1 SCARLET KNIGHT WAY, PISCATAWAY, NJ 08854-8069
(732) 445-6272
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
25MT00198700
NJ
Other
Enumeration date
07/23/2014
Last updated
12/08/2017
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