Individual
JOSHUA ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
399 REVOLUTION DR, SOMERVILLE, MA 02145-1484
(203) 470-5792
Mailing address
399 REVOLUTION DR, SOMERVILLE, MA 02145-1484
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/07/2023
Last updated
07/16/2024
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