Individual
MEGHAN LEIGH TRACEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
318 CLIFTON ST, APT 3, MALDEN, MA 02148-2438
(339) 222-1264
Mailing address
318 CLIFTON ST, APT 3, MALDEN, MA 02148-2438
(339) 222-1264
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2399
MA
Other
Enumeration date
10/27/2016
Last updated
10/27/2016
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