Maryanna Kathryn Brockman, PA-C, ATC
NPI #1912405531 in Middletown, Ohio
Provider Information
- NPI Number
- 1912405531
- Entity Type
- Individual
- Name
- Maryanna Kathryn Brockman, PA-C, ATC
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physician Assistant
- Credential
- PA-C, ATC
- Enumeration Date
- Jan 29, 2018
- Last Updated
- Aug 19, 2025
Practice Location
- Address
- 275 N BREIEL BLVD
- City
- Middletown
- State
- Ohio
- ZIP Code
- 45042-3807
- Phone
- (513) 424-7711
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist/Technologist - Athletic Trainer — Athletic Trainer |
| Physician Assistant |
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