NPI 1083884506

Melinda Mae Brenner, ATCCSCS

Practitioner Athletic Trainer Long Branch, NJ

Practice location

Address: 364 Westwood Ave Unit 48, Long Branch, NJ 07740-5565
Phone: (732) 233-5796
Fax: (732) 601-7069

Registered specialties

Athletic Trainer Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 2255A2300X Licence 25MT00086300 (NJ)

Other Specialist/Technologist providers in New Jersey →

Registry record

NPI: 1083884506
Entity type: Individual
Sex (as registered): Female
NPI issued: 12 Mar 2008
Record last updated: 12 Mar 2008

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.