| NPI | 1265568828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL RICHARD LESSARD Head Athletic Trainer 617-226-6163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2020-08-22 |