Individual
MS. RACHELLE TABAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 353-2746
(617) 353-7579
Mailing address
56 BAY STATE RD APT 5, BOSTON, MA 02215-1981
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
02005
MA
Other
Enumeration date
08/20/2009
Last updated
08/20/2009
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