Individual
ALLISON MARY CHARLESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
346 DOVER AVE, EAST PROVIDENCE, RI 02914-3139
(401) 261-7809
Mailing address
346 DOVER AVE, EAST PROVIDENCE, RI 02914-3139
(401) 261-7809
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
2815
TN
2255A2300X
Athletic Trainer
AT004350
GA
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/26/2019
Last updated
03/28/2024
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