Individual
MS. ASHLEY MARIE BOVAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAT, ATC
Contact information
Practice address
1215 WILBRAHAM RD, SPRINGFIELD, MA 01119-2612
(413) 782-1610
Mailing address
14 HIGHLAND VIEW ST, WESTFIELD, MA 01085-2735
(413) 454-1168
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2892
MA
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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