Individual
CAROLINE DAVENPORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
54 PLEASANT ST, MEDFIELD, MA 02052-2613
(508) 298-4924
Mailing address
54 PLEASANT ST, MEDFIELD, MA 02052-2613
(508) 298-4924
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
02/04/2020
Last updated
02/17/2020
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