MR. Brian D Fanning JR., MS, ACI, ATC
NPI #1669701264 in Hackettstown, New Jersey
Provider Information
- NPI Number
- 1669701264
- Entity Type
- Individual
- Name
- MR. Brian D Fanning JR., MS, ACI, ATC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Specialist/Technologist - Athletic Trainer
- Credential
- MS, ACI, ATC
- Enumeration Date
- Dec 11, 2009
- Last Updated
- Dec 11, 2009
Practice Location
- Address
- 22 WOOD DUCK CT
- City
- Hackettstown
- State
- New Jersey
- ZIP Code
- 07840-3312
- Phone
- (973) 229-6280
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
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