Individual
EDWARD WOZNIAKEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
12 RUSSELL ST, SUNDERLAND, MA 01375-9554
(413) 687-4622
Mailing address
12 RUSSELL ST, SUNDERLAND, MA 01375-9554
(413) 687-4622
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2102
MA
Other
Enumeration date
04/05/2011
Last updated
04/05/2011
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