Individual
MARCY L BUSELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
285 BABCOCK ST, BOSTON, MA 02215-1003
(617) 694-9767
Mailing address
19 CHESTER ST APT 3, ALLSTON, MA 02134-3025
(203) 565-6953
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1759
MA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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