Individual
MRS. MELISSA KOLSBY BEARDSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
101 SAINT THERESA AVE, WEST ROXBURY, MA 02132-3419
(617) 325-4920
Mailing address
95 ANDREWS ST, MEDFORD, MA 02155-1226
(781) 391-0381
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AH 1079-AT
MA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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