Individual
MR. ANDREW RICH DUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 353-4289
Mailing address
29 COLBORNE RD APT 4, BRIGHTON, MA 02135-4831
(803) 507-2072
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2125
MA
Other
Enumeration date
01/15/2011
Last updated
01/15/2011
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