Individual
JACQUELIN AMANDA KLUGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
65 N HARVARD ST, BOSTON, MA 02163-1010
(617) 495-2200
Mailing address
33 RIDGEMONT ST APT 2, ALLSTON, MA 02134-2587
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
06/02/2023
Last updated
06/02/2023
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