Individual
MARIKA PATRICIA CONWAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4 GRAFTON ST, WAKEFIELD, MA 01880-4221
(978) 430-0316
Mailing address
4 GRAFTON ST, WAKEFIELD, MA 01880-4221
(978) 430-0316
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1130
MA
Other
Enumeration date
01/08/2016
Last updated
01/08/2016
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