Individual
STEVEN LARAIA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC, CSCS, EMT
Contact information
Practice address
680 CENTRE STREET, BROCKTON, MA 02302
(508) 941-7000
Mailing address
26 LANGLEY ROAD, BRIGHTON, MA 02135
(774) 766-8418
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2702
MA
Other
Enumeration date
09/04/2017
Last updated
09/04/2017
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