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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

PHILIP JOSEPH BRAZALOVICH JR., ATC

Active Sole Proprietor

PHILIP JOSEPH BRAZALOVICH JR., ATC is a Athletic Trainer healthcare provider located in COLUMBUS, Ohio. NPI 1710411491 is currently active in the NPPES registry. Verify at CMS.

Athletic Trainer · COLUMBUS, OH

Registration Details

NPI Number
1710411491
Provider Type
Individual
Gender
Male
NPI Issued
Apr 19, 2017 (9.32667715732 yrs)
Last Updated
Aug 6, 2020
Licenses
001143 (CT)
AT005382 (OH)
Sole Proprietor
Yes

Practice Information

Address
1824 PARKFORD LN
COLUMBUS, OH, 432297084
Browse OH providers · Browse ZIP 43229
Phone
8607128466
Primary Specialty
Athletic Trainer
2255A2300X
Additional Specialty
Athletic Trainer

Other Athletic Trainer Providers in COLUMBUS, OH

Name Credential NPI
MS. KATHLEEN SUSAN TENLEY ATC 1235127697
KATRINA STIBEL MA, ATC 1841263522
MS. BONNE ROSE MCGOWAN ATC, LAT 1225002728
LISA KATHRYN KLUCHUROSKY A.T.,C. 1235103623
MS. JILL BELCHER PONZI ATC 1720052806
MELISSA WILGUS MS, ATC, CSCS 1215901459
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.