Individual
COLLEEN MARY NOLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
4 DERBY LN, HARWICH, MA 02645-1655
(508) 737-4054
Mailing address
4 DERBY LN, HARWICH, MA 02645-1655
(508) 737-4054
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0752
MA
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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