Individual
EMMA TITUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
63A PROCTOR ST, SALEM, MA 01970-2108
(978) 745-2076
Mailing address
63A PROCTOR ST, SALEM, MA 01970-2108
(978) 745-2076
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/09/2016
Last updated
02/09/2016
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