Sarah Georgetta Jean Brinckman

NPI #1336539253 in La Porte, Indiana

Provider Information

NPI Number: 1336539253
Entity Type: Individual
Name: Sarah Georgetta Jean Brinckman
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Student in an Organized Health Care Education/Training Program
Enumeration Date: Jan 30, 2015
Last Updated: Jan 30, 2015

Practice Location

Address: 5766 N 125 W
City: La Porte
State: Indiana
ZIP Code: 46350-8719
Phone: (219) 393-0096

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist/Technologist - Athletic Trainer — Athletic Trainer	2255A2300X
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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