Individual
MRS. KIMBERLY ANN O'LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LATC
Contact information
Practice address
28 HOLLY CIR, EASTHAMPTON, MA 01027-2737
(413) 529-0772
Mailing address
28 HOLLY CIR, EASTHAMPTON, MA 01027-2737
(413) 529-0772
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
702
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22
ATHLETIC TRAINER
MA
Enumeration date
02/23/2007
Last updated
07/08/2007
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