Individual
JEFFREY JAMES FARRELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
48 MAIN ST, SOUTHBOROUGH, MA 01772-1509
(774) 218-4213
Mailing address
48 MAIN ST, SOUTHBOROUGH, MA 01772-1509
(774) 218-4213
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1113
MA
Other
Enumeration date
03/01/2007
Last updated
12/09/2015
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