Individual
MR. BROOKS FARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MS, ATC.
Contact information
Practice address
175 FOREST STREET, ATHLETIC TRAINING DEPARTMENT, WALTHAM, MA 02452
(781) 891-2062
Mailing address
11 BRANDLEY RD, WATERTOWN, MA 02472-2217
(781) 891-2062
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
403
MA
Other
Enumeration date
07/18/2006
Last updated
07/08/2007
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