Individual
ANNA JEANNE APPLEGATE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
140 BAY STATE RD, BOX 5361, BOSTON, MA 02215-1701
(501) 743-2150
Mailing address
140 BAY STATE RD, BOX 5361, BOSTON, MA 02215-1701
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
09/07/2016
Last updated
06/26/2019
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