Individual
MS. CHARLOTTE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
161 COLLEGE AVE, MEDFORD, MA 02155-5593
(617) 627-5102
Mailing address
17 DUNSHIRE DR, NORTH CHELMSFORD, MA 01863-1307
(617) 459-9815
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3499
MA
Other
Enumeration date
02/14/2023
Last updated
07/17/2023
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