Individual
SHARONA MALLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
50 SUNSET LN, PAXTON, MA 01612-1106
(508) 849-3595
Mailing address
50 SUNSET LN, PAXTON, MA 01612-1106
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2505
MA
Other
Enumeration date
05/06/2022
Last updated
05/06/2022
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