Individual
NATHAN RYAN DIFFIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
141 WASHINGTON ST, AYER, MA 01432-1245
(978) 772-8600
Mailing address
141 WASHINGTON ST, AYER, MA 01432-1245
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
01/19/2018
Last updated
04/17/2018
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