Individual
MS. ANDREA JAYNE ROURKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
333 FOREST ST, GANN ACADEMY, WALTHAM, MA 02452-4717
(781) 642-6800
Mailing address
90 QUINCY SHORE DR, #819, QUINCY, MA 02171-2900
(617) 842-4205
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
664
MA
Other
Enumeration date
02/26/2007
Last updated
01/21/2008
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