Individual
JENNIFER LYNN CHADBURN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
915 COMMONWEALTH AVE, DEPARTMENT OF PHYSICAL EDUCATION RECREATION AND DANCE, BOSTON, MA 02215-1394
(617) 358-1890
(617) 358-3747
Mailing address
915 COMMONWEALTH AVE, DEPARTMENT OF PHYSICAL EDUCATION RECREATION AND DANCE, BOSTON, MA 02215-1394
(617) 358-1890
(617) 358-3747
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1084
MA
Other
Enumeration date
07/24/2007
Last updated
07/24/2007
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