Individual
JULIA LOVELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
263 ALDEN ST, SPRINGFIELD, MA 01109-3707
(413) 748-3406
Mailing address
32 BURNETT ST, AUBURN, MA 01501-1240
(774) 437-1044
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2633
MA
Other
Enumeration date
12/17/2015
Last updated
12/17/2015
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