Individual
BRANDON LEONE AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT, EMT
Contact information
Practice address
1615 STANLEY ST, NEW BRITAIN, CT 06050-2439
(860) 832-3086
Mailing address
65 DIXIE AVE, WATERBURY, CT 06706-1602
(203) 598-2184
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001632
CT
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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