Brian Boadwine, ATC
NPI #1205253622 in Knightdale, North Carolina
Provider Information
- NPI Number
- 1205253622
- Entity Type
- Individual
- Name
- Brian Boadwine, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- ATC
- Enumeration Date
- Mar 24, 2014
- Last Updated
- Mar 24, 2014
Practice Location
- Address
- 100 BRYAN CHALK LN
- Address 2
- KNIGHTDALE HIGH SCHOOL
- City
- Knightdale
- State
- North Carolina
- ZIP Code
- 27545-6712
- Phone
- (919) 217-5350
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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