Individual
MATTHEW BOILLAT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, ATC
Contact information
Practice address
375 CHURCH ST, NORTH ADAMS, MA 01247-4124
(413) 662-5414
(413) 662-5357
Mailing address
240 CROSS RD, CLARKSBURG, MA 01247-4618
(413) 652-0548
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1741
MA
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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