Individual
MR. MICHAEL POMERLEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.S., A.T.,C.
Contact information
Practice address
1 COUNTY ST, SOMERSET, MA 02726-4206
(508) 324-3115
Mailing address
12 CARLING CIR, SEEKONK, MA 02771-2005
(508) 336-5713
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
39
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
780479
CERTIFIED ATHLETIC TRAINE
MA
Enumeration date
06/26/2006
Last updated
07/08/2007
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