Individual
WHITNEY MARIE BRACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
A.T.C., L.A.T
Contact information
Practice address
3230 STADIUM TOWERS, TROY, AL 36082-0001
(334) 670-3720
(334) 670-3870
Mailing address
530 GARRETT OXLEY RD, EASTMAN, GA 31023-2310
(478) 231-8103
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1321
AL
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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