Individual
MS. LISA M AYLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
67 UNION ST, OUTPATIENT REHAB DEPT, NATICK, MA 01760-7700
(508) 650-7275
Mailing address
67 UNION ST, OUTPATIENT REHAB DEPT, NATICK, MA 01760-7700
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
696
MA
Other
Enumeration date
03/28/2006
Last updated
06/13/2016
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