Individual
MS. JENNIFER STURTEVANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LATC
Contact information
Practice address
101 MAIN ST, SUITE 105, MEDFORD, MA 02155-4540
(781) 395-7750
(781) 395-5343
Mailing address
6 LAKESHORE AVE, BEVERLY, MA 01915-1908
(617) 827-5311
(781) 395-5343
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1517
MA
Other
Enumeration date
04/04/2007
Last updated
03/28/2017
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