Individual
MISS HANNAH MORGAN DERRETH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 353-2746
Mailing address
5 WARREN TER, NEWTON, MA 02459-2060
(717) 476-7686
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2469
MA
Other
Enumeration date
09/30/2013
Last updated
09/30/2013
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