Individual
MS. ALYSSE N COROLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
319 LONGWOOD AVE, BOSTON, MA 02115-5728
(617) 355-3501
Mailing address
15 BATES AVE, WINTHROP, MA 02152-1711
(617) 279-9394
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2542
MA
Other
Enumeration date
04/29/2022
Last updated
04/29/2022
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