Individual
CALLEIGH FANGMEYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
65 NORTH HARVARD STREET, BOSTON, MA 02163
(617) 495-2200
Mailing address
65 NORTH HARVARD STREET, BOSTON, MA 02163
(617) 495-2200
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2607
MA
Other
Enumeration date
01/21/2016
Last updated
01/21/2016
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