NPI 1033618475

Brandon Desantis, MSATC

Practitioner Athletic Trainer Newark, DE

Practice location

Address: 631 S College Ave, Newark, DE 19716-2010
Phone: (302) 415-9783

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence J3-0000522 (DE)

Other Specialist/Technologist providers in Delaware →

Registry record

NPI: 1033618475
Entity type: Individual
Sex (as registered): Male
NPI issued: 12 Feb 2018
Record last updated: 12 Feb 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.