Individual
EMILY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
161 COLLEGE AVE, MEDFORD, MA 02155-5528
(617) 627-5102
Mailing address
58 SCHOOL ST, SOMERVILLE, MA 02143-1705
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2693
MA
Other
Enumeration date
12/06/2017
Last updated
12/06/2017
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