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Individual

MS. AMY LYNN SCHWARTZKOPF

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, L/AT, ATC

Contact information

Practice address
489 WINTHROP ST, MEDFORD, MA 02155-2393
(781) 393-2257
Mailing address
68 LIBERTY LN, HANSCOM AFB, MA 01731-2679
(603) 970-1117

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1725
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1725
COMMONWEALTH OF MASSACHUSETTS DIVISION OF PROFESSIONAL LICENSURE
MA
Enumeration date
07/15/2022
Last updated
07/15/2022
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