Individual
EMILY HANSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 355-3501
Mailing address
4 OREGON ST, GEORGETOWN, MA 01833-1152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
07/10/2014
Last updated
07/10/2014
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