Provider Demographics
NPI:1639663339
Name:ALLARD, BRITTANY VORNDRAN (ATC)
Entity Type:Individual
Prefix:MRS
First Name:BRITTANY
Middle Name:VORNDRAN
Last Name:ALLARD
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:BRITTANY
Other - Middle Name:ANN
Other - Last Name:VORNDRAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:ATC
Mailing Address - Street 1:9 N CADILLAC DR
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:08876-1703
Mailing Address - Country:US
Mailing Address - Phone:609-247-5642
Mailing Address - Fax:
Practice Address - Street 1:80 LOCK ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:NJ
Practice Address - Zip Code:07103-3507
Practice Address - Country:US
Practice Address - Phone:973-596-6470
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-06-18
Last Update Date:2018-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MT001787002255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer