Individual
VARSHINI BALASUBRAMANIAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
580 COMMONWEALTH AVE UNIT 307, BOSTON, MA 02215-2511
(617) 794-4196
Mailing address
580 COMMONWEALTH AVE UNIT 307, BOSTON, MA 02215-2511
(617) 794-4196
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3250
MA
Other
Enumeration date
10/26/2018
Last updated
10/26/2018
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