Individual
MS. ANNE MARIE LALLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
745 WASHINGTON ST, BRAINTREE, MA 02184-5751
(781) 664-2273
Mailing address
47 GREENWICH RD, NORWOOD, MA 02062-1044
(781) 492-2306
Taxonomy
Speciality
Code
Description
License number
State
146L00000X
Paramedic
Primary
811927
MA
2255A2300X
Athletic Trainer
AH-163
MA
Other
Enumeration date
03/22/2006
Last updated
08/01/2007
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