Individual
MR. WILLIAM ROBERT EVERETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
785 CENTRE ST, NEWTON COUNTRY DAY SCHOOL, NEWTON, MA 02458-2523
(617) 559-4820
Mailing address
53 ABERDEEN RD, QUINCY, MA 02171-1314
(617) 283-2892
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1416
MA
Other
Enumeration date
07/03/2006
Last updated
03/22/2011
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