Individual
MR. PETER KRYSKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MED, LATC
Contact information
Practice address
320 WASHINGTON ST, NORTH EASTON, MA 02357-0001
(508) 565-1514
Mailing address
2 MORSE DR, NORTON, MA 02766-2823
(978) 618-5418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1114
MA
Other
Enumeration date
04/20/2021
Last updated
04/20/2021
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