Individual
ERICA BROOKE KIESSLING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
402 E COLLEGE ST, BRIDGEWATER, VA 22812-1511
(540) 828-8000
Mailing address
1606 LAKE GLEN DR, FUQUAY VARINA, NC 27526-6947
(919) 612-1242
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/15/2020
Last updated
09/15/2020
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