Individual
PATRICK JORDAN-QUERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,
Contact information
Practice address
140 BRANDEIS RD, NEWTON, MA 02459-2745
(617) 559-6614
Mailing address
140 BRANDEIS RD, NEWTON, MA 02459-2745
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2180
MA
Other
Enumeration date
08/07/2014
Last updated
08/07/2014
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