Individual
KOSTAS ANDREO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
A.T.C.
Contact information
Practice address
131 RANGE HEIGHTS RD, LYNN, MA 01904-1577
(617) 240-7435
Mailing address
131 RANGE HEIGHTS RD, LYNN, MA 01904-1577
(617) 240-7435
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2499
MA
Other
Enumeration date
03/14/2016
Last updated
03/14/2016
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