Individual
RACHEL ELIZABETH LOAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., ATC, PES
Contact information
Practice address
100 ELM ST, EVERETT, MA 02149-5128
(617) 394-2490
Mailing address
6 GROVE ST, METHUEN, MA 01844-3635
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2151
MA
Other
Enumeration date
10/03/2013
Last updated
10/03/2013
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