Individual
DIANE GAUGHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACSM-CEP
Contact information
Practice address
280 WASHINGTON ST STE 100, BRIGHTON, MA 02135-3511
(617) 787-7901
Mailing address
40 OVERLOOK DR, BELLINGHAM, MA 02019-2922
(508) 809-0922
Taxonomy
Speciality
Code
Description
License number
State
224Y00000X
Clinical Exercise Physiologist
Primary
—
—
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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