Individual
AARON J CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
140 COMMONWEALTH AVE, 124 CONTE FORUM, CHESTNUT HILL, MA 02467-0246
(617) 552-1392
Mailing address
140 COMMONWEALTH AVE, 124 CONTE FORUM, CHESTNUT HILL, MA 02467
(617) 552-1392
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1694
MA
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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