Individual
MR. SCOT F SPAK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MED, ATC, CSCS
Contact information
Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 353-2746
Mailing address
285 BABCOCK ST, BOSTON, MA 02215-1003
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AH 1331-AT
MA
Other
Enumeration date
04/06/2006
Last updated
07/08/2007
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