Individual
BRYAN JARED TRUSCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LATC
Contact information
Practice address
125 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-2847
(617) 754-5626
(617) 754-6792
Mailing address
125 PARKER HILL AVE, ROXBURY CROSSING, MA 02120-2847
(617) 754-5626
(617) 754-6792
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1050AT
MA
Other
Enumeration date
10/24/2007
Last updated
10/24/2007
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