Individual
ERICA GAGNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC
Contact information
Practice address
583 CHESTNUT ST, LYNN, MA 01904-2600
(781) 581-0484
(781) 581-3392
Mailing address
49 LINWOOD ST, HAVERHILL, MA 01830-6525
(978) 372-0085
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1608
MA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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