Individual
ANDREA FORTUNATI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, ATC, LMT
Contact information
Practice address
10 THACHER ST, BOSTON, MA 02113-1748
(617) 982-3868
Mailing address
10 THACHER ST, BOSTON, MA 02113-1748
(617) 982-3868
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
001012
CT
2255A2300X
Athletic Trainer
3954
MA
225700000X
Massage Therapist
Primary
18314
MA
Other
Enumeration date
01/06/2017
Last updated
04/17/2026
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