Individual
MISS KRISTEN MARIE SASONOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT, RAA
Contact information
Practice address
900 WASHINGTON ST, CANTON, MA 02021-2574
(781) 821-5050
Mailing address
94 SPRUCE ST, APT 1, MILFORD, MA 01757-2031
(508) 381-1540
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1648
MA
Other
Enumeration date
02/20/2007
Last updated
03/07/2017
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