Individual
WENDY M KIRBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
285 OLD WESTPORT RD, NORTH DARTMOUTH, MA 02747-2356
(508) 999-8731
(508) 999-8867
Mailing address
29 GREENFIELD RD, WESTPORT, MA 02790-4807
(508) 999-8731
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
767
MA
Other
Enumeration date
02/24/2007
Last updated
07/08/2007
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