Individual
MARA MOFFIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
A.T.C., NASM-PES
Contact information
Practice address
20 NEWTON ST, BROOKLINE, MA 02445-7407
(617) 454-2787
Mailing address
20 NEWTON ST., BROOKLINE, MA 02445-3702
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1397
MA
Other
Enumeration date
06/27/2006
Last updated
04/01/2009
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