Individual
BREANNA NICOLE RICHARDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
65 N HARVARD ST, CAMBRIDGE, MA 02163-1010
(617) 495-2200
Mailing address
15 SCOTTFIELD RD, BOSTON, MA 02134-3742
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3034
MA
Other
Enumeration date
02/09/2018
Last updated
06/20/2018
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