Individual
KRISTEN DIROCCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT
Contact information
Practice address
147 LIBERTY ST, QUINCY, MA 02169-7639
(617) 481-2380
Mailing address
147 LIBERTY ST, QUINCY, MA 02169-7639
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
854
MA
Other
Enumeration date
08/16/2007
Last updated
08/16/2007
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