Individual
MR. DANIEL R TETREAULT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.ED. A.T.C. L.A.T.C
Contact information
Practice address
70 HANSON ROAD, CHARLTON, MA 01507
(774) 364-0083
Mailing address
70 HANSON RD, CHARLTON, MA 01507-1532
(774) 364-0083
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
880
MA
Other
Enumeration date
03/03/2011
Last updated
03/03/2011
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