Individual
MS. JANE THERESA MCDONALD
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
170 CENTRE ST, MILTON, MA 02186-3338
(617) 898-2162
Mailing address
122 C WEST 7TH ST., SOUTH BOSTON, MA 02127
(857) 225-2052
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1193
MA
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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