Individual
MR. TERARITH THAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC, ATC
Contact information
Practice address
320 WASHINGTON ST, NORTH EASTON, MA 02357-7800
(508) 565-1514
Mailing address
84 SAYLES ST, LOWELL, MA 01851-1626
(978) 866-5342
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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