Individual
TIMOTHY CONCANNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
65 WILSON AVE, WEYMOUTH, MA 02188-3623
(781) 290-6865
Mailing address
65 WILSON AVE, WEYMOUTH, MA 02188-3623
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
MA
Other
Enumeration date
01/14/2019
Last updated
01/14/2019
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