Individual
CLARE CHANTAL FARRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC, LAT
Contact information
Practice address
399 REVOLUTION DR, SOMERVILLE, MA 02145-1484
(860) 338-6022
Mailing address
120 M ST, SOUTH BOSTON, MA 02127-3173
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
3721
MA
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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