Individual
MELISSA BRAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
200 SEMINARY ST, PENNSBURG, PA 18073-1815
(215) 679-1171
Mailing address
200 SEMINARY ST, PENNSBURG, PA 18073-1815
(215) 679-1171
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
08/04/2020
Last updated
08/04/2020
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