Individual
MR. BRIAN HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
5040 FOREST DR STE 300, NEW ALBANY, OH 43054-8166
(614) 839-2110
Mailing address
681 PRESTON TRAILS DR, PICKERINGTON, OH 43147-2060
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT002611
OH
Other
Enumeration date
10/03/2020
Last updated
10/03/2020
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