Individual
LEANNE MCAULIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
32 WAYNE AVE, BRAINTREE, MA 02184-6953
(999) 999-9999
Mailing address
32 WAYNE AVE, BRAINTREE, MA 02184-6953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2655
MA
Other
Enumeration date
09/24/2014
Last updated
06/04/2015
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