MR. Brent Alan Riddle, M.ED., ATC, CSCS

NPI #1932235165 in North Grafton, Massachusetts

Provider Information

NPI Number
1932235165
Entity Type
Individual
Name
MR. Brent Alan Riddle, M.ED., ATC, CSCS
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Specialist/Technologist - Athletic Trainer
Credential
M.ED., ATC, CSCS
Enumeration Date
Feb 23, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
24 WILLIAMS RD
ZIP Code
01536-1238
Phone
(508) 839-0089

Specialties & Taxonomy Codes

Specialty
Specialist/Technologist - Athletic TrainerAthletic Trainer

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