Individual
SARAH NICHOLLE WARDLAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
485 LOWELL ST, PEABODY, MA 01960-1329
(978) 536-4500
Mailing address
PO BOX 664, EASTHAM, MA 02642-0664
(774) 722-4694
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3315
MA
Other
Enumeration date
07/15/2019
Last updated
07/15/2019
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