Individual
IAN ANGUS GANLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
315 TURNPIKE ST # MS 2478, NORTH ANDOVER, MA 01845-5806
(774) 254-6800
Mailing address
26 CONSTITUTION AVE, ATTLEBORO, MA 02703-6600
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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