Individual
MS. AMANDA MATUSZEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
31 BASSETT ST, PAWTUCKET, RI 02861-1802
(401) 359-0039
Mailing address
31 BASSETT ST, PAWTUCKET, RI 02861-1802
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/05/2017
Last updated
05/05/2017
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