Individual
JON DIPACE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC, LAT
Contact information
Practice address
271 PINE NOOK RD, DEERFIELD, MA 01342-9746
(413) 774-7411
Mailing address
271 PINE NOOK RD, DEERFIELD, MA 01342-9746
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
2967
MA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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