Individual
SAMANTHA RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
66 SPRING ST, MARION, MA 02738-1518
(617) 872-5267
Mailing address
66 SPRING ST, MARION, MA 02738-1518
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2325
MA
Other
Enumeration date
11/20/2015
Last updated
11/20/2015
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