Individual
AMANDA DEPINA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1844 COMMONWEALTH AVE, AUBURNDALE, MA 02466-2709
(508) 846-6804
Mailing address
19 OAKWOOD AVE, RANDOLPH, MA 02368-5528
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/25/2017
Last updated
10/25/2017
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